Are all psychiatric disorders a direct result of psychological factors and is there an obvious causal relationship? The onset of psychiatric disorders is related to psychological factors, but there is no obvious causal relationship In fact, psychiatric disorders (sleep disorders, anxiety disorders, depression, obsessive-compulsive disorders, phobias, eating disorders, stress-related disorders, etc.) are all the result of the interaction between biological (genetics, infections, somatic diseases, trauma, malnutrition, toxins, etc.), psychosocial factors (stressful life events, emotional state, personality traits, gender, parenting The results are related to the interaction of social class, socioeconomic status, race, cultural and religious background, interpersonal relationships, etc. Both biological (intrinsic) and psychosocial (extrinsic) factors play an important role in the occurrence and development of mental disorders. Different factors play different roles in the initiation of different mental disorders. Psychological factors are involved in the occurrence of mental disorders, but this factor is not the only one that plays a role, there are other factors that also affect the occurrence and development of the disease, so, let’s think about it, whether only psychological adjustment can completely solve the problem? Personally, I think: it is difficult to completely disappear the symptoms by psychological adjustment alone, medication with psychotherapy is more effective. Instead of suffering painfully, it is better to relieve symptoms through medication, interrupt the vicious cycle, consolidate treatment for a period of time, consider reducing the dosage, and improve your quality of life. Example: Panic disorder I started to experience chest tightness, tachycardia, irregular heartbeat, difficulty in whistling or hyperventilation, headache, dizziness, vertigo, numbness and abnormal sensation in the limbs, sweating, flesh jumping, general shaking or general weakness from two months ago, and in severe cases, someone felt like dying. Each attack is sudden, usually uncomfortable for 5 to 20 minutes, rarely more than 1 hour. After the attack, there are palpitations and fears of further attacks, weakness, and it takes nearly 4 hours to recover. When not having an attack, I was afraid to go out alone or to go to a crowded place, but I could not get help for my physical problems. In the hospital, ECG and cranial MRI were done, and all tests were normal. The patient had so many symptoms mentioned above, but the results of all relevant tests were normal. To paraphrase the patient’s family, “Previously, other doctors suggested that my family see a psychiatrist, but we thought we were psychologically healthy and did not have any psychological problems. We thought we were mentally healthy and had no psychological problems. Since the psychiatrist advised us to see a psychiatrist again this time, we took the psychiatrist’s advice with the intention of giving it a try and it turned out that the psychiatrist’s advice was right.