Somatization symptoms of anxiety can appear anywhere in the body from inside to outside, from head to toe, such as: headache, dizziness, feeling of head hooping or tight scalp, brain ringing, tinnitus, pain in the ear, eye pain, eye blur, sensitivity to light, nasal pain and congestion, red and hot face, dry mouth, bitter mouth, stuttering, tight teeth, tasteless mouth or thick tongue, foreign body feeling in the throat, phlegm sticking in the throat, neck and shoulder pain and numbness and other discomfort, easy fatigue, Insomnia, poor memory, weakness or a sense of serious illness C body. Back pain, chest pain, chest tightness, difficulty breathing, shortness of breath, shortness of breath, breathlessness, hyperventilation, cough or dry cough, palpitations and panic, tachycardia, premature heartbeat, discomfort in the precordial region, pain and burning in the heart, high or unstable blood pressure. Low back pain, abdominal pain, bloating or flatulence, burning, abdominal pain, (11) laxity, (6) short-step hissing, stomach pain, churning or tumbling sensation in the stomach, feeling of gas overhead, feeling of falling in the abdomen or anus, hiccups and acid reflux, nausea and vomiting, difficulty urinating or frequent and painful urination, constipation, diarrhea or urgent bowel movements, discomfort or pain in or around the genitals, abnormal or heavy vaginal discharge, sexual and menstrual symptoms. Bone pain and itching, pain and weakness in limbs or joints, unsteadiness in standing or sitting, unsteadiness in walking or walking lightly like stepping on cotton, fear of fainting or fear of falling, twitching, shaking, jumping or trembling in limbs or the whole body, paralysis or palsy in limbs, sudden adaptation of the normal functions of limbs or five senses, loss of body weight or obesity, loss of hair, lack of color, rough and dry skin or spots, skin allergy, itchy and numb skin, burning sensation, tingling and pressure on skin. Burning sensation, skin tingling and pressure or ants walking sensation, swelling, heaviness, tightness, chills and fever, sweaty skin or hot flashes, cold hands and feet, fear of cold and wind, etc. These are all symptoms of somatic anxiety that we often see in the clinic, and there are many more, I can’t think of them all at once, I will add them later when I think of them or when I encounter them in the clinic. A patient may have only one or two of these symptoms, or many of them. The location and nature of the symptoms may be fixed for a long time, or they may change frequently over time. The “somatization” of anxiety symptoms refers to the expression of internal anxiety through physical symptoms. This “somatization” phenomenon is most often seen in anxiety disorders, depression with anxiety, and schizophrenia with anxiety, including bipolar depression, dysphoric disorder, anxiety disorders (generalized anxiety disorder and panic attacks), somatoform disorders, somatization disorders, hypochondria, dysthymia, social phobia, post-traumatic stress disorder, neurological disorders, and chronic physical disorders. disorders, neurosis, and chronic fatigue syndrome. A special reminder is that when the clinical manifestations of anxiety disorders are physical symptoms, they are not easily recognized by clinicians, not to mention the general public. To give a rather telling example, an elderly director of psychiatry was admitted to the cardiology department for severe vertigo and precordial discomfort, and it was not until after three stays in the cardiology department that it was discovered that she was suffering from anxiety disorder rather than really having any heart disease. Therefore, it is understandable that many patients with this type of anxiety disorder are reluctant to see a psychiatric psychiatrist. When the internal anxiety is transformed into physical symptoms, some patients’ anxiety becomes less pronounced instead, which is one of the reasons why anxiety patients choose to see other departments rather than psychiatry and clinical psychology. There may be deeper reasons why patients do not want to see a psychiatrist, such as “primary benefit”, “secondary benefit” or “family benefit”. I will not write more about this because it is easily misunderstood.