1. The doctor’s previous teachers did not teach, medical school textbooks did not pay attention to clinical psychology, and the doctor himself did not catch up in time. Therefore, it is very difficult for the doctor to realize that the patient’s symptoms are caused by his personality, thinking, imagination, emotions, and sensitive events. Treatment is mainly biomedical, “headache treatment”, symptomatic medicine, the result is easy to “treat the symptoms but not the root cause”. 2.The doctor is aware of the psychological origin of the symptoms, but does not have the clinical psychotherapy ability, so there is no way to carry out psychological treatment. 3.The doctor is aware of the psychological origin of the symptoms and has some psychological treatment ability, but he does not have time to give psychological treatment to the patients. Because there are too many patients coming to the outpatient clinic, patients will be anxious and doctors will be starved if they look at them slowly. 4, the hospital psychotherapy charges are generally low, many doctors even if they have some psychotherapy ability, it is difficult to insist on spending a lot of time and energy to carry out psychotherapy for a long time, but turn to more tests, more drugs to improve the quality of survival of the doctor. 5, many patients and their families, the recognition and acceptance of psychotherapy is still relatively low, coupled with the level of Chinese psychologists (psychological counseling) vary, many patients deny psychotherapy because of the limited ability of the heart individual psychologists.