BACKGROUND Ethiopia is a country in which child and adolescent mental health needs are often not met. In order to promote capacity building, a Collaborative International Exchange Programme has been established between Jimma University at Jimma, Ethiopia, and Ludwig-Maximilian University in Munich, Germany. The programme focuses on training non-physician health professionals in mental health speciality. One of the courses in the training programme, child psychiatry, involves a child psychiatrist and a children's nurse supporting the management of a patient described in this case report. Its conceptual framework is based on the section "significant emotional and medically unexplained complaints" of the "WHO mental health GAP intervention guide for mental, neurological and substance use disorders in non-specialized health settings". OBJECTIVE The purpose of this case report is to promote confidence in mental health professionals when managing patients with similar conditions, and to stimulate further evaluation of the conceptual approach in developing countries. PATIENT The subject of this case report is a 14-year-old adolescent girl admitted to the psychiatric clinic at Jimma University Teaching Hospital. She was admitted for intractable retching, inability to eat, weight loss, and inability to walk. Challenges included the combination of medical and psychiatric symptoms, and the significant impairment of functioning in this adolescent. The first aim in the management of this patient was to guarantee vital functions. In a problem-oriented approach, different domains were addressed to restore nutritional, social, emotional, and motor functions. Treatment consisted of various elements of psychosocial interventions. The patient improved in 2 weeks and the final diagnosis was conversion disorder. CONCLUSION Psychosocial interventions can be developed in cooperation, and applied in a setting where little child mental health expertise is available. Case-based learning relying on local expertise is suitable in meeting local needs and in developing mental health services for children and adolescents.

中文翻译：

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青少年，有严重的情绪上和医学上无法解释的抱怨：病例报告和干预建议。

背景技术埃塞俄比亚是一个经常不能满足儿童和青少年精神健康需求的国家。为了促进能力建设，埃塞俄比亚吉马的吉马大学与德国慕尼黑的路德维希·马克西米利安大学之间建立了合作国际交流计划。该计划的重点是对非医师健康专业人员进行精神卫生专业方面的培训。培训计划中的一门课程是儿童精神病学，涉及一名儿童精神科医生和一名儿童护士，以支持本病例报告中所述的患者管理。其概念框架基于“ WHO精神卫生GAP精神，精神，疾病和精神疾病干预指南”的“重大情绪和医学原因不明的投诉”部分。解决了不同领域的问题，以恢复营养，社交，情感和运动功能。治疗包括社会心理干预的各种要素。患者在2周内好转，最终诊断为转化障碍。结论可以合作开发社会心理干预措施，并将其应用于缺乏儿童心理健康专业知识的环境中。依靠当地专业知识进行基于案例的学习适合满足当地需求并为儿童和青少年提供心理健康服务。并应用于缺乏儿童心理健康专业知识的环境中。依靠当地专业知识进行基于案例的学习适合满足当地需求并为儿童和青少年提供心理健康服务。并应用于缺乏儿童心理健康专业知识的环境中。依靠当地专业知识进行基于案例的学习适合满足当地需求并为儿童和青少年提供心理健康服务。