Patient, female, 51 years old, her husband had residual physical disability from a car accident a year ago and could not take care of himself, and the patient was busy taking care of her husband daily. For six months, she developed dizziness and would often faint. Various tests such as blood glucose, cervical spine X-ray, electrocardiogram and cranial MRI were done and no abnormality was found. Later, the doctor recommended a psychiatric consultation. Upon the doctor’s inquiry, the patient had symptoms such as difficulty in sleeping at night, decreased appetite, self-consciousness of stress, lack of meaning in life, better off dead, and easy to lose temper, in addition to physical symptoms. He was diagnosed with “depression”, given antidepressant medication, and advised his relatives to assist the patient in caring for her husband. Similar cases are not uncommon. Such patients do not actually have a somatic illness, but may be suffering from depression. Why does depression manifest as somatic symptoms? Because many people are not sensitive to their emotional experiences, and some people are reluctant to talk about their negative emotions, thinking that it is a sign of weakness and incompetence, and worrying that others will look down on them for this reason, so they often use repression or denial for their negative emotions, and over time, this repressed emotion will be transformed into somatic symptoms that manifest. Because it is a kind of deformation, patients cannot clearly recognize the psychological symptoms behind it, so they can only “treat the headache and the foot”, which is not effective. Behind the physical symptoms of patients, there are often signs of distress, low mood, distraction, insomnia, decreased interest and hopelessness, which are typical features of depression. The use of antidepressant treatment for such patients often gets twice the result with half the effort, and patients’ emotional symptoms and somatic symptoms can often be improved quickly. After remission, one of the most common statements made by many patients is: “If I had come to the psychiatric department earlier, I would not have suffered so much”. Therefore, if you are not feeling well and your doctor cannot find anything wrong, you should think about whether you might be suffering from depression and go to a psychiatric clinic as soon as possible in order to solve the underlying problem.