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Article ID	#20212
Title	Managing environmental sensitivity: An overview illustrated with a case report
URL	http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2391018
Journal	J Can Chiropr Assoc. 2008 Jun;52(2):88-95
Author(s)	Busse JW
Subject(s)	Adaptation, Psychological Environmental Illness / therapy Hypersensitivity Hypersensitivity, Immediate Multiple Chemical Sensitivity Patients / psychology
Peer Review	Yes
Publication Type	Case Report
Abstract/Notes	While the adverse impact of certain environmental agents is well established and affect individuals in a predictable dose-dependent manner, the validity of some exposure syndromes, such as environmental sensitivity, attributed to the influence of environmental chemicals in low, usually harmless doses, is less certain. Diagnosis of environmental sensitivity is subjective, and both standard medical and complementary and alternative treatment often fails to provide clinically meaningful functional gains. Existing evidence suggests that in many individuals with these syndromes, psychosocial factors play a prominent role. In this article we present an approach to managing patients presenting with sensitivities to environmental agents that includes identifying and managing organic disease, obtaining a thorough biopsychosocial history, confirming a diagnosis, and developing a rehabilitative process that focuses on support and improvements in function. A case of multiple chemical sensitivity illustrates this approach. This abstract is reproduced with the permission of the publisher; click on the above link for free full text.

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