Abstract
When examining the patient who feels the pain with the not certain cause, a mental problem will be considered. The grade of the body symptom in which a mental problem participates, the correspondence and the treatment are difficult. It's effective to think which degree pain existence of the body symptom and the view can explain multilaterally to distinguish and investigate. I think it's useful to utilize a case conference and share a gauge. A check name as “Somatic Symptom Disorder” appeared on revised DSM-5 in June, 2013 as a mental disorder related to the pain. Additionally as the spirit disease which should be considered, Schizophrenia Spectrum Disorders, Cenesthopathy and a Depression, it's mentioned. The painful correspondence in which a mental problem participates seems to become little trouble when it's made a judgment with chief complaint and correspondence. A liaison is important to be necessary but not to be made. An assessment of the validity of the operating correspondence, orderly Informed-Consent and the medical treatment which doesn't become one-sided in a press are important about a liaison. The doctor who examines the body symptom first has heavy responsibility about the explanation of an examined result. To influence an after treatment relation, he should pay attention to make the explanation scarce in a basis and the guarantee easy.