What about somatic disorders?

  A somatic disorder is one in which the patient repeatedly states somatic symptoms, continually requests a medical examination, and ignores repeated negative findings, regardless of the physician’s repeated assurances that his or her somatic symptoms do not have a somatic basis. Even if a somatic disorder does sometimes exist, the presence of the somatic disorder does not explain the nature and extent of the symptoms or the patient’s distress. For patients, they resist exploring the possibility of a psychological etiology even if the appearance and persistence of symptoms are closely related to unpleasant life events, difficulties, or conflicts.  Main features: predominantly somatic symptoms: excessive concern about the severity of the somatic symptoms is clearly disproportionate to the actual situation; excessive concern about physical health such as excessive concern about usually occurring physiological phenomena and abnormal sensations; repeated visits to the doctor or medical examinations, negative results and doctors’ explanations do not dispel their doubts.  Classification: including somatization disorder, hypochondriasis, somatoform autonomic disorder and persistent somatoform pain disorder.  Treatment: Antidepressant and anxiolytic treatment, adequate paroxetine treatment is recommended, and higher doses of benzodiazepines such as alprazolam are needed to control the patient’s anxiety symptoms in the short term.