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Medically unexplained physical symptoms
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====Medically explained physical symptoms and MUPS==== Some patients diagnosed with MUS or MUPS have a diagnosis of a physical illness recognized by the [[World Health Organization]]'s [[ICD-10]] classification, or the newer [[ICD-11]] classification that fully explains the physical symptoms; this is because a clinician believes the physical symptoms are disproportionately "distressing to the individual", and the patient has "excessive attention directed toward the symptoms", which does not reduce with reassurances from medical professionals, causing the related psychiatric disorder.<ref name="ICD-11-BDD">https://icd.who.int/dev11/l-m/en#/http://id.who.int/icd/entity/767044268</ref><ref name="DXRevWatch-BDD2" /> Concerns have been raised about the [[ICD-11]]'s Bodily Distress Disorder, a psychiatric disorders chapter potentially being used for patients with [[ME/CFS]], either before a diagnosis has been reached or after diagnosis.<ref name="ICD-11-BDD" /> Consulting many different doctors is a behavior described that may be caused by BDD,<ref name="ICD-11-BDD" /> and the clinician's perception of the severity of the physical symptoms often does not match medical test results in patients with ME/CFS. As a result of significant advocacy work, including proposals by [[Suzy Chapman]], [[postviral fatigue syndrome]], [[chronic fatigue syndrome]], and [[myalgic encephalomyelitis|benign myalgic encephalomyelitis]] have recently been added as exclusions from Bodily Distress Disorder.<ref name="ICD-11-BDD" /><ref name="DXRevWatch-BDD2" />
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