امرأة عمرها ٣٨ سنة عندها ألم صدر وصداع وألم بطن متكرر منذ سنوات، وكل الفحوصات طبيعية، وتزور أطباء كثير. ما الأنسب؟

A 38-year-old woman has had recurrent chest pain, headaches and abdominal pain for years with normal tests, and sees many doctors. What is best?

1. Order new tests at every visit
2. Send her to the ED with each complaint
3. Tell her the symptoms are imaginary
4. Acknowledge symptoms; regular follow-up

Answer: D) Acknowledge symptoms; regular follow-up. In somatic symptom disorder the symptoms are real to the patient; acknowledge them, arrange regular follow-up with one clinician and teach stress coping.