Organisation of assessment and treatment of functional somatic disorders 2026 Kallesøe et al

[Andy]

Abstract​

Functional somatic disorders (FSD) are common, disabling and best understood within a biopsychosocial framework. Denmark has developed a national stepped-care organisation with clear task distribution across sectors and age groups. Implementation has strengthened access to evidence-based care, particularly for adults, but remains uneven for children and adolescents. This review finds that continued capacity building, competence development and consistent implementation are needed to ensure equal access and quality across regions.

Open access (in Danish)

 

[rvallee]

"Here's what we did, very superficially, we think it's great, we don't have any data, but you can trust us, bro".

There is not a single bit of data in there aside from a few highly inflated prevalence figures. It's clearly written by consultants, for consultants who are adverse, or indifferent, to having data.

best understood within a biopsychosocial framework

Could just as well be

best understood within a homeopathic framework

and it wouldn't change a damn thing. Standards in this industry are so damn low.

 

[rvallee]

Actually, the only numbers they use make the whole thing even more ridiculous:

Recent international meta-analyses estimate the prevalence of moderate to severe FFD at approximately 3.3% in children and adolescents and 8.8% in adults [1, 2]. The Danish population survey DanFunD similarly shows that 10.7% of adults have FFD, of which 2.2% meet the criteria for multi-organ FFD

They didn't bother presenting any data on the number of people who have gone through their system, but obviously it would not even be 0.1% of this population. No health care system has the capacity to handle this, so the entire treatment model is a delusional fantasy, even less realistic than if it featured million-dollar drugs.

The implementation has strengthened coherence and quality, but there is still a need to match capacity with the high prevalence of FL

They seem to think that they are going to grow from hundreds per year to hundreds of thousands. With a treatment model that does not even work, that scales negatively, in that the more capacity they build, the heavier the bureaucracy has to be simply to manage all the people, facilities and all the administration it involves, and has no basis in reality.

A magical bean economy makes more sense than this, because at least in this scenario, you have lots of beans. Between this and people pining for a return to coal, I genuinely have no idea who is more out of touch with reality. At least you can actually generate energy with coal, it's just wrong in a different way.