The PBIS World Book

Tier I Interventions for Somatic Complaints

IMPORTANT! Please read before implementing:

Before considering implementing any strategies for somatic complaints, it’s imperative to rule out real physiological  causes for suspected somatic coimplaints with a physician. Failure to identify and treat real physiological conditions by a physician can result in serious harm and even death due to misdiagnoses.  Somatic complaints should only be approached as such after consulting with a physician who can rule out real physiological causes, and a physician should continue to be a part of any team addressing somatic complaints even if real physiological compalints have been ruled out in case new symptoms or information come to light that may merit further investigation by a physician.

Before you start, a few important points:

  • Try multiple interventions
  • Each intervention should be tried for a minimum of 4 weeks, & more than 1 intervention may be implemented at the same time
  • Collect and track specific data on each intervention tried & its effect
  • If your data indicates no progress after a minimum of 6 months, you may consider moving to tier 2 interventions