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Today thousands of publications tell us about diseases of the soul and body, but in recent years the topic of the influence of mental processes on physical diseases has become popular. As people say, “all diseases come from nerves.” On the one hand, the influence of the psyche on the entire body is undeniable - from skin diseases to changes in tissue structure, but on the other hand, the exact diagnosis of such an influence still remains a question. And in general, perhaps this is becoming an “easy way” to evade the doctor’s responsibility for correcting treatment that was not entirely successfully prescribed or, even worse, the disease is not at all in the place where it was sought. For example, one of my friends suffered for six months from attacks of toothache, which led him to surges in blood pressure, went to different doctors, and they threw up their hands and said, they say, everything will pass, you have not found any inflammation, you are too worried about this – treat your blood pressure. And then, in order to rule out all the factors, I decided to go to my doctor once again to fill a very minor hole in the tooth, and what you think turned out to be - of course, a hidden process of destruction and decay. What do you think my friend should have done in this case? Should I continue to see doctors? To whom, a cardiologist, a proctologist? Or perhaps his attacks of pain were related to a sexual theme, as a psychologist friend of his said? No, simply not finding a reason, the doctor attributed it all to psychological problems. And many such cases can be cited. Yes, it is possible that in determining the disease it is necessary to pay attention to some more details. For example, with what trepidation the patient treats his “illnesses”, his personality type, parental upbringing, the number of illnesses he has suffered, etc. (this is already related to the approach followed by this or that specialist). But how can a psychologist, psychiatrist, neurologist or astrologer help him with all this baggage, if a person is really sick, only this disease does not manifest itself clearly, but is hidden or atypical in nature. Then all our gentlemen cried, psychodiagnostic criteria and all kinds of hypotheses about the occurrence of this disease, allegedly caused by the above-mentioned factors. This is where the phrase comes in: “Hmm, he’s a hypochondriac(*). It is very difficult, almost impossible, to help such people. Perhaps you should take a course of antidepressants.” And this is a reality that I have encountered in my practice. What happens next? Perhaps there is already a thread emerging here that just wraps the unfortunate man in a hypochondriacal ball, who is forced to move from one office to another, from one psychologist to another, in order to finally solve his health problem. But we can talk not just about attacks of pain, but about life as such, not to mention its quality. And when, with glimmering hope, our newly minted hypochondriac comes to the next doctor’s or psychologist’s office for advice, then the question arises not only about the competence, but also about the greed of the specialist. Moreover, some individuals may share the “booty” with their colleagues, sending them, for example, to a massage or to a spa salon, or to a bowel cleansing with their familiar healer. Such a scenario, even after recovery, will leave a significant mark on the patient’s life, and this is also from the field of psychosomatics (*) - only its other side, which many people forget about. I do not call for excluding consideration of the influence of mental factors on the appearance and course of physical diseases; I want to draw the readers’ attention to the problem beyond the popularity of this topic, which puts pressure on making a diagnosis and determining further treatment.

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