Table 2 Selected diagnostic aspects

Proceedings (19) ^a:

Presenting behaviour (20):

   Making somatic examination (11)

   Presentation of somatic symptoms (11):

   Questions on possible psychological causes for symptoms (8)

- Heart complaints/stabbing chest pain (4)

   Using depression criteria (6)

- Thyroid dysfunction (3)

   Making an indirect anamnesis by asking family members or including information about the patients' biography (5)

- Pain (head, limbs) (2)

   Watchful waiting (5)

- Diabetes (1)

   Referring patients to specialists (2)

- Hypertension (1)

   Observation of nonverbal behavior (e.g. body language) (2)

- Overweight (1)

   Using a depression questionnaire (1)

- Fatigue (1)

- Sleeping problems (1)

- Vertigo (1)

Diagnostic problems (17)

   Presentation of psychological complaints (9):

   Yes (6):

   - Time consuming psychological diagnosis (1)

- Overstrain by family or work problems (4)

   - Financial losses because of time consuming psychological diagnosis (1)

- Depression/depressiveness (3)

   - Differential diagnosis of Depression, Parkinsons' and Alzheimers' disease in older patients (1)

- Sleeping problems (3)

   - Fear of overlooking Depression (1)

- Agitation (2)

   - Decision if somatic symptoms are actually caused by Depression (1)

- Feeling low (2)

   - Being sure if the patient really suffers from Depression, detection of Depression (1)

- Anxieties (2)

   No (11)

- Nervousness (1)

- Loss of zest for life (1)

- Loss of drive and energy (1)

- Fatigue (1)

Satisfaction (16):

   Satisfied with diagnostic proceedings (11)

   Not satisfied with diagnostic proceedings (5) for following reasons:

- Missing information about diagnosis and its causes (3)

- Feeling of not being taken seriously (1)

- No application of concrete measures, such as questionnaire (1)