Psychological disorder and headache and dizziness Psychogenic headache is a non-organic pain caused by psychological disorder, which can be diagnosed by detailed medical history and general clinical examination, and can be diagnosed and medicated, and the significant effect can be seen in ten and a half days. However, Ms. Jiang had to go through many hospitals because of such headache and dizziness, and was labeled as “gastritis, myocarditis, anemia and cerebral blood supply deficiency”; she suffered from many kinds of examinations and took many kinds of drugs, which made her physically and mentally emaciated and weak. After being diagnosed and given the “right medicine”, her disease hat came off and she recovered quickly. Ms. Jiang’s journey to see the doctor, both the doctor and the patient are worth reflecting on. Ms. Jiang is a county rural middle school middle school language teacher, years and classroom teacher, usually busy, not good at housework. Her “husband” Mr. Wang is a grassroots cadre in the township, free time and proficient in domestic and external affairs, they are married for 3 to 4 years, the basic situation is that Ms. earn money, Mr. control, the two love as before, live very sweet. But unfortunate things fall from the sky, one day Ms. Jiang heard rumors of her husband’s extramarital affairs, and later in Wang’s cell phone text messages really confirmed, Ms. Jiang thus suddenly realized that her husband turned out to be a hypocrite, all the love is nothing. From then on, the two of them were often angry with each other. Ms. Jiang insomnia, dreamy, daytime dizziness, headaches, no energy to work hard. The wife is getting thinner and thinner, the husband looks at it, pain in the heart, all the comfort and care. Half a year has passed, although the couple’s feelings have recovered, but Ms. Jiang more than a few diseases, in addition to the original “neurasthenia”, because of frequent epigastric distension and pain, eating less, see a doctor, the diagnosis of “chronic gastritis”; from time to time panic, chest tightness, electrocardiogram suggests T wave, ST Segment changes, according to which doctors suspect “viral myocarditis”; there is also a diagnosis of anemia, cerebral blood supply deficiency ……. Ms. Jiang was finally tormented by the disease bloodless face, a very bad state of mind, she is light on life, no longer the work of the former tiger energy, took the initiative to resign from the classroom teacher, a free time only want to be at home behind closed doors, reluctant to interact with people to talk, often sobbing to her husband that she can not live, and do not want to live, just begging her husband to bring up their daughter well. Old Wang blamed himself and took pity on his wife, and took her to the gastroenterology, cardiovascular and neurology departments of many hospitals in the county and provincial cities, and finally came to a headache and dizziness department because the headache and dizziness were getting heavier. Psychogenic, that is, neurotic, or a kind of non-organic headache and dizziness caused by psychological disorder, other diseases (such as myocarditis, cerebral blood supply deficiency, etc.) are not important and their existence is debatable. The abdominal distension, panic, chest tightness and mild abnormal ECG you mentioned are all evolved from this (psychological disorder),……,” this doctor turned to raise his voice and said, “Don’t worry, as long as you can trust my words and actively cooperate with the treatment, your disease will soon be cured “. The first time Ms. Jiang heard such a decisive and confident conclusion, she was immediately overjoyed, long-lost confidence and tightly strong into the heart, nodded repeatedly and said “good, good, I listen to the doctor ……”. So she took antidepressants for more than half a month, it was really amazing, the most significant feeling is that the mood is relaxed, life is more fun, and her husband also regained the enthusiasm of the past. The heartburn, chest tightness and abdominal distension that had been bothering her for a long time quietly receded. Ms. Jiang was a physically healthy, career-minded backbone teacher, since an obvious mental excitement due to insomnia, dizziness, headache, and then successive epigastric fullness, panic, chest tightness and other symptoms to see a doctor, a number of doctors according to the “targeted” examination and treatment. As a result, Ms. Jiang’s disease more and more to see. The reason for this is that one is that the patient failed to give a clear medical history, and only said that the subsequent symptoms such as abdominal distension, panic and chest tightness, etc.; the second is that the receiving doctor failed to inquire into the medical history, and only paid attention to the diseases of the body organs while ignoring the symptoms of psychosomatic disorders that can cause abnormalities in many organs, and only treated the headache and the foot, ignoring the root and not catching the source. It is obvious that the source and root of Ms. Jiang’s many symptoms is a sudden mental stimulus leading to a psychological disorder – depression. Why can psychological disorders cause so many confusing illnesses? This starts from the “complexity” of human beings. As we all know, people are both a biological organism and a thinking member of society. Physical health and mental state are closely linked. Modern medicine shows that the causes of all human diseases can be summarized into two categories, one is biological factors, such as infection, physical and chemical factors such as damage; the second is psychological factors, such as prolonged or excessive mental excitement, emotional stress leading to psychological disorders caused by depression and / or anxiety disorders. One and two are often causal, such as patients with hypertension and coronary artery disease can be complicated by depression. Long-term depression and anxiety are not uncommon in patients with hypertension and ulcer disease. Recent studies have shown that post-stroke depression can be as high as 40% to 50%, and post-stroke depression greatly affects the recovery from stroke. Ms. Jiang’s illness started with insomnia, headache and dizziness caused by mental trauma, followed by storage of multiple somatic symptoms, the former being the root and source of her many symptoms or illnesses. Due to the traditional understanding of the disease (by both doctors and patients) that only physical diseases (ulcer disease, hypertension, etc.) and their related manifestations are valued, while the influence of psychosomatic disorders is ignored, patients only talk about the physical symptoms such as abdominal pain and panic at the time when they seek medical treatment, and do not know (or are unwilling to – especially when privacy is involved) to tell the cause of If the receiving doctor is limited by clinical experience and knowledge, he/she only listens to the patient’s side effects or superficial phenomena, and is satisfied with the auxiliary examination and treatment, the result is that the treatment is ineffective and even more confusing. Therefore, in the diagnosis of diseases, doctors should have the overall concept that the mind and body are inseparable from each other, pay attention to the influence of psychological factors on physical diseases, trace the root cause, grasp the root, and avoid misdiagnosis.