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Potential of a cognitive-behavioural approach to improve patient symptoms in a primary care setting

Family medicine residents in Canada are trained to use a patient-centred clinical method when evaluating patients who present to them with particular symptoms.1 This approach uses a biomedical evaluation as well as consideration of patients’ perspectives and concerns. As a result, patients and physicians engage in shared decision making regarding the management of patients’ presenting symptoms. Accumulating evidence reveals that many common yet disabling patient symptoms are treatable with cognitive-behavioural therapy (CBT). By incorporating the principles behind CBT at the point of care, family physicians might be able to improve these common symptoms for their patients. However, family physicians would need to be adequately trained to use this approach effectively during their daily care of patients.