The Student May:

  • Have frequent complaints of body aches (head, stomach, extremities) that have not been shown to have physiological origins

  • Hold stomach, head, arm, etc

  • Appear flushed, red faced, or pale

  • Moan, whine, groan

  • Go to the bathroom to vomit, use bathroom

  • Indigestion or sour stomach after lunch

  • Ask to go home due to not feeling well

  • Ask to see the secretary or nurse for pains or aches

  • Have migraines

  • Develop hives, soars, blotches, or rashes

  • Pass out, become unconscious, dizzy, light headed, or disoriented

  • Require lots of one on one attention

  • Seem needy and overly reliant on others

  • Low level of self initiative, independence, or responsibility

  • Seizures

  • Shaking and tremors

  • Glazed or red eyes

  • Cough and sneeze

  • Limp or favor an extremity

If this describes the student, he/she may need to see a doctor for medical evaluation about their physical symptoms. If physical symptoms have been determined a non-medical issue then proceed to the interventions. If not, try choosing another behavior.

Interventions:

  • Acknowledging positive behavior

  • Alternative modes of completing assignments

  • Assign a buddy or partner

  • Break down assignment

  • Break down directions

  • Call parent or note home

  • Count to 10

  • Deep breathing

  • Draw a picture or write in a journal

  • Engage student

  • Explain assignment

  • Explain directions

  • Frequent home contact

  • Give choices

  • Have student repeat directions back

  • Help student start assignment

  • Helping Students With Home Work

  • Ignore

  • Listen to music

  • Move to a new location in the classroom

  • Praise when cooperative and well behaved

  • Praise when good attitude and involvement occur

  • Praise when on task

  • Proximity to students

  • Reassurance

  • Reflection sheet

  • Snack break

  • Speak with student in hallway

  • Take a break

  • Take a break

  • Talk one on one with student

  • Talk to parent

  • Teach conflict resolution skills

  • Teach coping skills

  • Teach relationship skills

  • Teach relaxation techniques

  • Teach social skills

  • Touch base with student

  • Touch student on shoulder

  • Use timer

  • Visual schedule

A few important points:  

  • Try multiple interventions at the same time

  • Collect and track specific data on each intervention tried & its effect

  • If your data indicates no progress after a two weeks, you should consider a referral to the Trutherapy School Based Counselor.

Somatic Complaints