Has been back pain, panic and chest tightness, went to a number of hospitals doctors thought it was coronary heart disease, but two years of medication still no improvement. Yesterday, after two weeks of antidepressant drug treatment, the patient was finally cured. This year, 56-year-old Ms. Xiong retired home, usually responsible for picking up and dropping off her grandchildren, and took care of all the household chores. In the past two years, she always felt weak, back pain, and sometimes panic and chest tightness. She went to the hospital several times, and the doctor suspected that it was coronary heart disease, but she did not find any abnormality after the electrocardiogram and other tests. Later, she was referred to the Department of Mental Health of Wuhan University of Science and Technology. After carefully understanding the patient’s medical history, Dr. Hu Yiwen of the department found that Ms. Xiong had been in a bad mood for a long time and felt that she usually worked very hard and her husband did not care about her, and they lacked communication. Sometimes, when she thought of her long illness, she even wanted to die. For this reason, Dr. Hu diagnosed her as suffering from “occult depression”. After half a month of symptomatic medication, Ms. Xiong’s symptoms all disappeared. Dr. Hu introduced that the clinical manifestation of occult depression is different from typical depression, with less obvious emotional symptoms and more physical discomfort, such as back pain, weakness, chest tightness and shortness of breath, abdominal distension and abdominal pain, which mostly occurs in middle-aged and elderly women. Due to long-term chronic illnesses and “empty nest syndrome” resulting in the lack of emotional expression, the elderly often have more physical discomfort than young people. Dr. Hu said that through the treatment of antidepressants and psychological guidance, coupled with the cooperation of the family, you can soon achieve better results. Dr. Hu also said that many people think that the “mental health department” is the place to see mental patients, but in fact, many physical diseases are caused by mental illness, so patients and even doctors should understand some mental health knowledge, so as to realize that the root cause of some symptoms may be mental health problems.