A Man with Chronic Back Pain and Panic Attacks: A Collaborative Multisystem Intervention

  • Jose Bayona

Mr. Santos is a 55-year-old Hispanic man who made an appointment with our clinic looking to get treatment for his chronic back pain. This was his first appointment with us.

The clinic’s nurse welcomed him and proceeded to take his vital signs. Mr. Santos appeared to be in no pain but walked slowly. He seemed calm and quiet. The nurse placed the patient in the physician’s office after taking the vitals signs.

The physician’s office was designed to have a small living room area with a small sofa, a center table, two chairs, and two green plants. This space was called the interview room. The routine of this practice is to place the patients in the interview room, where the initial conversation between the patient and physician takes place, and, if necessary, move to any of the two adjacent examining rooms for a physical examination.1 These rooms were accessible through doors connecting with the interview room. This setting has been shown to invite the patients to talk and present their concerns in a more casual and familiar language instead of utilizing or emphasizing a medical tone or language.


Panic Attack Mental Health Clinic Network Therapist Chronic Back Pain Interview Room 
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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Jose Bayona
    • 1
  1. 1.Department of Family and Community MedicineThe University of Texas Health Science Center at Houston Medical SchoolHoustonUSA

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