Often times, psychiatric illnesses are associated with health behaviors and pyschophysiologic changes that promote medical illness. Attributing a patient's pain to solely a psychiatric cause is not a diagnosis of exclusion. More importantly, undertreated psychiatric disease may exacerbate pain states (Hudson et al. 1985). Thus, to assess the psychiatric status of the chronic pain patient, a physician should perform a Mini-Mental status exam and discuss any existing depression or anxiety symptoms (Wittink et al. 2004).
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