Rosh Psychiatry Board Practice Exam

Which factor may complicate the treatment approach for a patient with multiple unexplained complaints?

1. Concurrent substance use

2. Heavy online research of symptoms

3. Recent health evaluations

4. Family history of anxiety disorders

The correct answer is: Heavy online research of symptoms

The factor that complicates the treatment approach for a patient with multiple unexplained complaints is heavy online research of symptoms. When patients engage in extensive online research, they often come across a multitude of information that may lead them to develop a heightened focus on their symptoms. This can result in increased anxiety and may contribute to a phenomenon known as "cyberchondria," where individuals become excessively concerned about their health based on information they find online. This intense self-diagnosis can hinder effective communication with healthcare providers, as patients may come into appointments with preconceived notions about their conditions that aren't clinically valid. It can distract from the clinician's diagnoses, lead to unnecessary tests, or promote treatments that are not evidence-based. Furthermore, this behavior can lead to frustration on both sides and complicate the overall treatment plan, as it may reduce the patient's trust in a provider's expertise or guidance. In contrast, concurrent substance use, recent health evaluations, and family history of anxiety disorders, while important factors in a patient's clinical picture, can be addressed through standard treatment modalities without necessarily leading to complications in understanding the current complaints. Addressing and managing symptom perception and anxieties stemming from online research requires careful navigation, education, and psychological support, which is essential for an