What exactly is the discomfort?

In the outpatient clinic, we often encounter patients who often have multiple parts of the uncomfortable, painful, or indescribable discomfort, but by many hospitals gastroscopy, ultrasound, ECG, CT, MRI, etc., are not detected organic lesions, or just superficial gastritis, but according to the gastritis treatment for several courses, just no improvement, some also feel that the more treatment more aggravated, some will go to Beijing and other large hospitals, spending a lot of money, but The disease is still not improving. For this reason, the family will think that the patient is not sick pretending to be sick, which makes the patient feel that the family does not care about themselves, or think that they have an incurable disease. The psychological burden will increase, and the condition will worsen. So what exactly do they have? What they have is “somatoform disorder”, which is mostly seen in women, mainly manifesting discomfort in one or more parts of the body, and a number of tests do not reveal any disease, but the patient feels uncomfortable and uncomfortable. Therefore, it is usually treated repeatedly in general hospitals as a somatic disorder, with poor results. Patients are more suspicious that they have an incurable disease and want to treat it even more. In fact, most of these people are patients with what used to be called “occult depression”, in which somatic discomfort is a physical manifestation of psychological factors, but because it is manifested in the body, they continue to seek medical treatment in general hospitals and are treated as somatic diseases, but most of them are not effective, and some of them are aggravated. In our department, most of these patients achieve good results with psychological and pharmacological treatment. They often regret that they did not go to the psychology department in time for treatment, which led to delay and financial waste.