The focus of this model is uncovering and treating the environmental sensitivity of a psychogenic nature. In order to handle therapy pitfalls, an Integrative Model for treatment of Environmental Illness of psychogenic nature (IMEI) was developed. The therapists reported a struggle with the patient’s own needs to project the cause of illness onto the physical environment and the EI patients complained that the therapists were lacking a broader knowledge in the field of environmental medicine and were not able to alleviate the patients’ worries. However, there are unpublished clinical reports that CBT alone is not enough in treating the SBS patients successfully. One such a method is Cognitive Behavioral Therapy (CBT) with a focus on identifying factors that maintain the expression of anxiety. There are no studies on effective treatment methods for SBS patients, although psychological methods for treatment of similar problems exist, such as anxiety and phobia disorders. Follow-up studies of SBS patients reveal that they were not treated and that their symptoms worsened with time. Psychosocial studies show that poor psychological work environment is associated to SBS symptoms. Personality studies show that on a group level the SBS subjects have personality traits within normal range and not on a pathological level, although they have personality traits such as high anxiety, high aggressivity, low sense of coherence, and higher neuroticism which created a vulnerability factor for SBS. In such cases it is an environmental illness (EI) of psychogenic nature that can be treated therapeutically. They also with time became sensitive to other exposures such as smells, perfumes, electromagnetic fields and suffered from anxiety symptoms. Some patients though stayed sensitive and had the SBS symptoms even after leaving the suspected building. The SBS symptoms in most cases disappeared or diminished after leaving the building. SBS symptoms were reported to be in the eyes, nose, throat, and lower airways skin reactions non-specific hypersensitivity mental fatigue headaches nausea and dizziness among persons staying in the suspected building. In the early 1980s, the sick building syndrome (SBS) concept was defined by the World Health Organization (WHO). Due to lack of knowledge about these symptoms, patients were often treated as hysterics. It is well known that patients seek help for symptoms attributed to the exposure of different indoor environments.
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