• Complaints seem out of proportion to organic pathology.
  • Treatment does not yield expected results despite an improved organic status.
  • New symptoms arise as old symptoms resolve.
  • The patient repeatedly raises issues/questions already addressed.
  • The patient seems to require more time and attention than usual.
  • The patient does not adhere to prescribed treatment.
  • The patient takes anxiolytic, sleep or analgesic medication for a longer period of time than appropriate.
  • The patient resists the idea of attempting to wean from anxiolytic, sleep, or analgesic medication.
  • The patient exhibits a great deal of emotional distress.
  • The patient reports significant family problems in dealing with illness.
  • The patient overuses alcohol or other psychoactive substances.
  • Psychophysiological components could exacerbate the medical condition [10].
Table 1: Sample Handout for Referring Physicians’ Consideration for Medical Psychology Consultation