Letters to the EditorLETTER TO THE EDITOR A biopsychosocial approach to pediatric symptom presentations: avoiding diagnostic overshadowing and symptom shadowing Patricia Valassis, MD; and Tyler Cymet, DO Notes and Affiliations Notes and Affiliations Received: June 4, 2026 Accepted: June 16, 2026 Published: July 10, 2026 Patricia Valassis, MD, Illinois College of Osteopathic Medicine, Chicago, IL, USA Tyler Cymet, DO, Illinois College of Osteopathic Medicine, Chicago, IL, USA https://doi.org/10.1515/jom-2026-0114