Concluding Comments

Endocrine and metabolic disorders present the clinician with numerous challenges in the pediatric psychosomatic medicine context. Adherence to complex medical regimens remains problematic for many children with these disorders, and these children are often at risk for cognitive, emotional adjustment, and academic difficulties. Their parents face numerous stressors as well, secondary to their child's disease status. Assessment, however brief, should take into account the multiple domains of functioning that may be affected, including cognitive, behavioral, emotional, and familial functioning. A number of interventions have the potential to improve the quality of life for these children and their families.

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