In clinical practice, especially for us dermatologists, we often see patients complaining, why do I have this disease? How did I get it? Why is my disease still not good? And so on, such as this, our doctors repeat and repeat to explain the intractability of the disease, the current performance of these manifestations are the performance of the therapeutic process. In fact, this is not, this is not unrelated to the patient’s chronic disease of the pathological psychology, so out of the psychological misunderstanding of intractable diseases, especially key. First, imagine the diagnosis: what kind of disease he suffers from, should be diagnosed by the doctor. But some people in the clinic, has been to their own disease for self-diagnosis, they hold the idea that may be suffering from certain diseases, and sometimes also a combination of other symptoms, their own imaginary condition, it is easy to interfere with the doctor’s diagnosis, and even cause misdiagnosis. This mentality is especially highly educated office workers and seem to understand the character and often look up information on the Internet and can not distinguish between true and false habits of the most common. Second, ignore the disease: the development of disease has a light to heavy process. Some people after the disease, the beginning of the symptoms may be very light, so they think nothing, to the doctor’s words also do not listen to, resulting in aggravation of the disease. Such as allergic vasculitis and lupus erythematosus patients, the early symptoms of the same general dermatitis eczema symptoms or perhaps no self-awareness of symptoms. At this time the doctor advised the patient to hospitalization, the patient may also think that the doctor is fooling him, or even wai ning doctor’s professional conduct. Think the doctor is trying to make their own hospitalization to earn their own money, so do not hospitalization, wait until the condition worsens, the formation of complex or self-conscious symptoms are obvious and then look for a doctor but lost the best time. This phenomenon is very common in our department, such as urticaria patients is also the case, the acute phase is not seriously treated according to the course of treatment, to be chronic and then appear doubtful psychological cure. Third, picky psychology: some people are eager to cure the disease, after three days of treatment by a doctor did not see the effect, the doctor that the diagnosis is wrong or the level of attitude is not in place, change the doctor. In fact, some diseases such as pruritus more stubborn may be related to visceral tumors, the condition of the improvement or diagnosis of the cause of the need for a period of time, not necessarily a few hours or a few days on the line, and some even more than a dozen days or dozens of days in order to see the results. Doubtful psychology: patients often have doubts about doctors or drugs, love to look at doctors with skepticism, often show irritability, annoyance and complaining, and are unwilling to talk about their conditions. Some people are even full of misunderstanding, with an extreme state of mind to guess, stubbornly convinced that they are suffering from some kind of serious illness or even skin cancer, often patients do not know a lot of skin diseases and mental factors, the more you scratch the more itchy, the more itchy, the more scratch the more thick, the thicker the more itchy, the more itchy, the more annoyed, the more annoying the more itchy, and so on the vicious cycle of the disease due to the psychology of suspicion led to the deterioration of the disease aggravated, or even more persistent or depression. Fifth, belittling examination: some skin diseases need to be examined, such as fungal diseases, that is, we usually say ringworm, the ancient cloud “internal not cure asthma, external not cure ringworm” on the recurrence of ringworm, so fungal culture plus drug sensitivity test in order to cure. Clinical work, especially doctors will do the same test repeatedly according to the development of the disease. But some patients hold the traditional concept of playing with the solid, when the consultation only hope that through their own statement they want to let the doctor to make the disease clear, randomly prescribe some medicines can be used externally. If the doctor let the patient check, the patient feels that the doctor has no water to, think it is a waste. Cite a simple example, skin disease check urine routine may be many patients can not understand, in fact, diabetes and hepatobiliary stasis and changes in urine PH value can lead to many skin diseases. If the patient did not see any abnormality in the first check, the patient thought it was a waste or white. In fact, if there is no abnormality doctor diagnosis and treatment may be simple, but if found to be internal diseases or systemic diseases, the treatment is not a single treatment of dermatosis so simple.