Patients with long term & medically unexplained physical symptoms present in a range of settings. Many clinical presentations are poorly explained by existing anxiety-based treatment models. This workshop will provide clinicians with specific assessment and management skills based upon the so-called five areas assessment CBT model – and focus upon a range of interventions to help the patient use experiments and structured problem solving plans to improve how they feel. After you have attended this course you should be able to: • Describe the range of illness responses and understand these using a cognitive behavioural framework • Help make sense of the patients current presentation – including how to assess complex presentations such as chronic fatigue and pain • Identify factors that are worsening how the person feels and choose realistic targets for change • Use concepts such as pie charts to help patients reattribute the causes of their symptoms • Describe in detail a plan to increase activity levels in order to overcome avoidance and reduced activity