Hypochondriasis is a type of somatoform disorder, which is a type of neurological disorder in which the main complaint is a variety of somatic discomfort symptoms, and the patient’s suspicions are not dispelled despite constant and multiple medical consultations and the existence of no substantial damage or clear pathophysiological mechanisms confirmed by various medical examinations. Features 1. There are many somatic symptoms that cannot be explained medically, or these uncomfortable sensations and experiences are much more serious than those that can be caused by the original disease changes (this must be determined by the medical history and physical examination). 2.Excessive concern for physical illness, very worried about some minor changes in physical conditions. 3.All kinds of medical examinations are negative, and no positive examination evidence corresponding to the somatic symptoms that the patient feels painful can be found clinically. 4.History of frequent visits to the doctor despite repeated examinations not showing organic disease. 5. Insistence on disregarding the physician’s advice stating that there is no serious somatic disease or abnormality. The patient still insists on believing that a serious disease exists and exhibits symptoms. With these two conditions, a suspicious disorder should be suspected. Clinical symptoms: The most common symptoms of somatization disorder can be summarized into the following 4 categories: 1, pain: such as pain of various nature in the head, neck, abdomen, back, joints, extremities, chest, rectum, etc., not fixed in one place, can occur during menstruation, sexual intercourse or urination. 2. Gastrointestinal symptoms: such as belching, acid reflux, nausea, vomiting, abdominal pain, bloating, diarrhea, or certain foods that cause particular discomfort. 3, genitourinary symptoms: such as urinary trapped pile, urinary retention, or frequent urination, genital or its surrounding discomfort. (4) Pseudoneurological symptoms: limb paralysis or weakness, dysphagia or obstructive pharyngeal sensation, loss of voice, urinary retention, absence of tactile or pain sensation, diplopia, blindness, deafness, twitching ataxia, limb paralysis or weakness, dysphagia or obstructive pharyngeal sensation, loss of voice, absence of tactile or pain sensation, diplopia, blindness, deafness, unusual skin sensations such as itching, burning sensation, tingling and other conversion symptoms. (5) Respiratory and circulatory system symptoms such as shortness of breath and chest pain. Treatment: 1. General management Usually patients have previously undergone a thorough medical examination with their own treating physician and can exclude underlying somatic diseases. The best management of somatic complaints is for the patient to have regular contact with the treating physician. Medication The aim is to relieve the patient of the accompanying anxiety and depression. Benzodiazepines, tricyclic antidepressants, SSRIs, and symptomatic analgesics or sedatives are available. 3.Psychotherapy is the main form of treatment. Patients often refuse to accept that the essence of symptoms lies in psychological problems, so psychotherapy aimed at improving cognition can explore and resolve the internal conflicts that cause symptoms. Adjustment to the environment in which one lives is essential to correcting disease behavior and developing healthy behavior. Enhance the ability to adapt to the social environment and family, try to learn self-regulation, and get rid of dependence as early as possible. Correct attitude of spouse and relatives and friends towards the patient: both to give full understanding and sympathy to the patient’s disease and pain, and to change the negative, indifferent and discriminatory attitude, and to avoid over-dramatizing the disease and pain and not to be dominated by them, in order to establish a positive, caring and harmonious family atmosphere.