Table 5. Brief outline of Comprehensive Treatment Module For MUPS.

MUPS- Medically unexplained physical symptoms

Area	Session and duration	Content	Structure
Module 1: Problem Assessment	Session 1	Initial assessment	Interview and investigation-based approach,  Detailed history,  Investigations,  Assessment of psychological construct by scales
Module 2: Psychoeducation and physical counselling	Session 2 (25 min)	Rapport establishment,  Symptom discussion,  Psycho-education,  Self-monitoring (diary/journaling), Dietary Counselling,  Routine physical activities,  Reassurance, and Validation of symptoms (normalizing symptoms)	Psychoeducation, Handout,  Daily dairy sheets,  List and detail of physical activities,  Homework sheets
Module 3: Stress Management	Session 3 : (25 min): Face to face  session  Session 4 : (15 min) [Telephonic]	Review of symptom diary,  Review of Health Promoting Activities,  Pleasant activities,  Breathing exercise,  Systematic relaxation training,  Sleep hygiene	Ideas for pleasant activities,  Handouts, and homework sheets
Module 4: Cognitive strategies for symptom control	Session 5-6 : (20 min)	Review of a symptom diary,  Review of Health Promoting Activities,  Defocusing,  Identifying Cognitive distortion,  Cognitive restructuring	Handouts and homework sheets
Module 5: Management of comorbidities (Optional)     Relapse prevention and review of progress	Session 7: (15 min)	Review of symptom diary (5 min), Health Promoting Activities (5 min), Other medical and psychiatric comorbidities management (5 min)	List of disease  and medicine,  Road map to follow a plan
		Tips for maintaining improvement,  Review of goals achieved.	Handouts