How do you approach the management of patients who require nutritional restoration in the setting of a presumed functional GI disorder recalcitrant to behavioral medicine and pharmacologic therapies?  

It certainly is a very good question if indeed the patient has functional disease; then, for sure, they need more than just my help. They probably need the help of a nutritionist, but even more so, they need perhaps psychiatric medication and the treatment of a behavioral therapist or psychological ...

I find a functional patient who may not really have anything organically wrong. It may be psychological, are much more difficult to deal with than patients who have a distinct organic problem. The fact that the patient may have stress, anxiety, panic, depression, time is threatening to them, and the...