Unrecognized Biologic Bases of Behavioral Symptoms in Patients Referred for Hypnotherapy

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Abstract
Twenty patients referred for hypnotherapy had organic conditions which explained their symptoms. Each had been evaluated previously by physicians. Eleven had also been in psychotherapy; two of these had been hospitalized on child psychiatry inpatient units. Presenting symptoms included five with nocturnal enuresis, four each with headaches and recurrent abdominal pain, three with recurrent headaches, two with anxiety, and one each with sleep problems and tics. Diagnoses included hyperthyroidism, diabetes, diastometamyelia, partial oxalotranscarbamylase deficiency, sinusitis, carbon monoxide poisoning, vitamin overdose, food allergy, amebiasis, constipation, urinary tract infection, paroxysmal atrial tachycardia, and seizures. Each child had complete remission of symptoms with treatment of his/her underlying disease. Morbidity related to delayed diagnoses included parental anxiety and guilt, child anxiety, growth delays, family financial difficulties, loss of parental work time, loss of school days, and loss of confidence in child health professionals by families.

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