Moving from a description of a variety of “no disease” syndromes, all frequently encountered
in the paediatric practice, the Author provides an overview of the neuropsychology
and physiology of fear, and suggests to incorporate this knowledge to provide a more sensible
approach to the management of these complaints based on appropriate counseling.
Once ruled out with appropriate investigations any organic disease, the approach should
include allowing parents to express their fears, accepting the parents’ worries, providing
rational explanations and finally reinforcing self-esteem. Paediatricians are recommended
to build parents’self-esteem self-confidence and understanding of the underlying mechanisms
of fear also as a preventive strategy.