Table 2. List of statements circulated to all members of the expert panel for voting.

MUPS- Medically unexplained physical symptoms

Module 1: Ascertainment of diagnosis and problem assessment

Detailed history should be taken in patients with MUPS to rule out organic pathology

Thorough physical examination should be performed in patients with MUPS to rule out organic pathology

Appropriate investigations should be conducted in patients with MUPS to rule out organic pathology as deemed necessary

Extensive investigations should be avoided unless the physician has a compelling reason for the same

Referral to speciality services should be sought for those patients where the treating physician has a  doubt in the diagnosis of MUPS

Module 2: Psychoeducation and physical counselling

The physician should work on rapport establishment with the patient.

Patients with MUPS will benefit from a discussion of their symptoms.

Patients with MUPS will benefit from clarification of misconceptions about the symptoms and disease.

Patients with MUPS will benefit from clarification of misunderstandings about medical care.

Dietary counselling should be done for patients with MUPS.

Patients should be encouraged to participate in graded physical activity.

MUPS patients should be encouraged to participate in social activities.

Patients should be encouraged to keep records of daily activities.

Module 3: Stress management

For each patient, an attempt should be made to identify the precipitating factor

Patients should be encouraged to participate in activities they used to find pleasurable

Patients should be encouraged to regularize their sleep schedule (sleep hygiene)

Breathing exercises for relaxation will be beneficial in patients with MUPS

Autogenic training will be beneficial for patients with MUPS.

Module 4: Cognitive strategies of symptom control

Cognitive-behavioral therapy is an important tool for the management of MUPS

Problem solving treatment is a practical approach that can be delivered by general practitioner.

Teaching problem solving techniques to MUPS patients will be beneficial