---
title: "Meaning & Key Takeaway of: When a patient tells a doctor that every…"
description: "\"When a patient tells a doctor that every symptom is the most horrible ever - and the physical exam and labs are normal - we often suspect something psy..."
image: "https://sms4smile.com/quotes/i/d6c/danielle-ofri-26196_anxiety_when-a-patient-tells-a-doctor-that-every_2870272.jpg"
---

#  When a patient tells a doctor that every symptom is the…

![“When a patient tells a doctor that every symptom is the most horrible ever - and the physical exam and labs are normal - we often suspect something psychological is going on. The symptoms aren't fake. They're physical manifestations of anxiety, depression, and stress. So while I'm always on the…” quote by Danielle Ofri](https://sms4smile.com/quotes/i/d6c/danielle-ofri-26196_anxiety_when-a-patient-tells-a-doctor-that-every_2870272.jpg)   [Download](https://sms4smile.com/quotes/i/d6c/danielle-ofri-26196_anxiety_when-a-patient-tells-a-doctor-that-every_2870272.jpg) [Open image](https://sms4smile.com/quotes/i/d6c/danielle-ofri-26196_anxiety_when-a-patient-tells-a-doctor-that-every_2870272.jpg)

> “When a patient tells a doctor that every symptom is the most horrible ever - and the physical exam and labs are normal - we often suspect something psychological is going on. The symptoms aren't fake. They're physical manifestations of anxiety, depression, and stress. So while I'm always on the lookout for a serious underlying disease.”

[Danielle Ofri](https://sms4smile.com/quotes/author/danielle-ofri/)

## About This Quote

This interpretation was drafted with AI assistance. It is one reading of the quote, not the author's own explanation.

Physicians must recognize that severe symptoms can stem from mental health, not just physical disease, and treat them seriously.

**In simple terms:** Doctors should see anxiety and stress as real causes of physical symptoms.

Key Takeaway

Treat psychological causes with care.

Themes

healthcare mental health diagnosis patient empathy

Mood

empathetic analytical

Type

clinical educational

When to use this quote

- clinical assessment
- patient communication
- stress management
- education

Key Concepts

Psychosomatic illness mind-body connection clinical vigilance

Questions to Reflect On

- How can doctors balance physical and mental assessments?
- What training improves recognizing psychosomatic symptoms?

A Different Perspective

May risk overlooking rare physical conditions.

★ ★ ★ ★ ★   No ratings yet

[Anxiety](https://sms4smile.com/quotes/about/anxiety/) [Anxiety depression](https://sms4smile.com/quotes/about/anxiety-depression/) [Exam](https://sms4smile.com/quotes/about/exam/) [Manifestation](https://sms4smile.com/quotes/about/manifestation/) [Patience](https://sms4smile.com/quotes/about/patience/) [Psychological](https://sms4smile.com/quotes/about/psychological/) [Stress](https://sms4smile.com/quotes/about/stress/)

## Related quotes

> [“It is chilling to know that some accepted ways of being with children can leave them vulnerable to suffering from anxiety, depression, or rage…](https://sms4smile.com/quotes/natalie-taylor/it-is-chilling-to-know-that-some-accepted-ways-of-being-with-children/)

[Natalie Taylor](https://sms4smile.com/quotes/author/natalie-taylor/)

> [For people who deal with anxiety or depression or can't be in large social groups cognitively, emotionally, or even physically, phones help bridge the…](https://sms4smile.com/quotes/mary-h-k-choi/for-people-who-deal-with-anxiety-or-depression-or-can-t-be-in-large/)

[Mary H.K. Choi](https://sms4smile.com/quotes/author/mary-h-k-choi/)

> [Anxiety and depression are the price you pay for a well-lived life.](https://sms4smile.com/quotes/george-vaillant/anxiety-and-depression-are-the-price-you-pay-for-a-well-lived-life/)

[George Vaillant](https://sms4smile.com/quotes/author/george-vaillant/)

> [“Adding anxiety to depression is a bit like adding cocaine to alcohol. It presses fast-forward on the whole experience. If you have depression on…](https://sms4smile.com/quotes/matt-haig/adding-anxiety-to-depression-is-a-bit-like-adding-cocaine-to-alcohol/)

[Matt Haig](https://sms4smile.com/quotes/author/matt-haig/)

> [“Buddha was asked: “What have you gained from meditation?” He replied: “Nothing.” “However”, Buddha said, “let me tell you what I lost: Anger, Anxiety,…](https://sms4smile.com/quotes/brian-tracy/buddha-was-asked-what-have-you-gained-from-meditation-he-replied/)

[Brian Tracy](https://sms4smile.com/quotes/author/brian-tracy/)

> [“Anxiety and depression, and the physical symptoms they cause, are merely distractions and smokescreens to “protect” you from dangers, which are usually, imaginary.”](https://sms4smile.com/quotes/charles-f-glassman/anxiety-and-depression-and-the-physical-symptoms-they-cause-are/)

[Charles F. Glassman](https://sms4smile.com/quotes/author/charles-f-glassman/)

> [Hello. I am a lonely stoner. I blaze up when im alone, because I dont go out much. I started smoking because I have…](https://sms4smile.com/quotes/leaf-burner/hello-i-am-a-lonely-stoner-i-blaze-up-when-im-alone-because-i-dont-go/)

Leaf Burner

> [You take somebody - one person has definitely got autism, you got another person that maybe has some of those traits and maybe there's…](https://sms4smile.com/quotes/temple-grandin/you-take-somebody-one-person-has-definitely-got-autism-you-got/)

[Temple Grandin](https://sms4smile.com/quotes/author/temple-grandin/)

> [With anxiety and depression, what's been most helpful to me has been learning a toolbox - a set of skills I can use when…](https://sms4smile.com/quotes/olly-alexander/with-anxiety-and-depression-what-s-been-most-helpful-to-me-has-been/)

[Olly Alexander](https://sms4smile.com/quotes/author/olly-alexander/)

> [“Training is a step-by-step training in mental calmness and emotional wisdom, designed to help patients recover from and prevent relapse of anxiety, depression, and…](https://sms4smile.com/quotes/henry-emmons/training-is-a-step-by-step-training-in-mental-calmness-and-emotional/)

[Henry Emmons](https://sms4smile.com/quotes/author/henry-emmons/)

> [“Notice that the only place you will find peace is in surrendering your heart, mind, thoughts, and desires to Jesus Christ. In Jesus you…](https://sms4smile.com/quotes/ken-dignan/notice-that-the-only-place-you-will-find-peace-is-in-surrendering/)

Ken Dignan

> [If you are at peace, you are living in the present.](https://sms4smile.com/quotes/laozi/if-you-are-at-peace-you-are-living-in-the-present/)

[Laozi](https://sms4smile.com/quotes/author/laozi/)

> [Comment if: you have an eating disorder, anxiety, depression, attempted suicide, you cut your wrists, a disorder, or you feel alone. I wanna follow…](https://sms4smile.com/quotes/anonymous/comment-if-you-have-an-eating-disorder-anxiety-depression-attempted/)

[Anonymous](https://sms4smile.com/quotes/author/anonymous/)

> [For me, a big part of anxiety and depression was not knowing how to say 'no' and wanting to please too many people... part…](https://sms4smile.com/quotes/melissa-leong/for-me-a-big-part-of-anxiety-and-depression-was-not-knowing-how-to/)

[Melissa Leong](https://sms4smile.com/quotes/author/melissa-leong/)

> [“If your intuitive channel is open but your tuner isn’t dialed to your Higher Self, you may accidentally pick up on that negative energy…](https://sms4smile.com/quotes/sonia-choquette/if-your-intuitive-channel-is-open-but-your-tuner-isn-t-dialed-to-your/)

[Sonia Choquette](https://sms4smile.com/quotes/author/sonia-choquette/)

## More by Danielle Ofri

> [“In general, empathy is easier the more we can identify with someone. When we can genuinely envision ourselves in a situation, it's possible to…](https://sms4smile.com/quotes/danielle-ofri/in-general-empathy-is-easier-the-more-we-can-identify-with-someone/)

[Danielle Ofri](https://sms4smile.com/quotes/author/danielle-ofri/)

> [“How the sadness is handled by the physician has a powerful impact on the medical care received by the patients. If the grief is…](https://sms4smile.com/quotes/danielle-ofri/how-the-sadness-is-handled-by-the-physician-has-a-powerful-impact-on/)

[Danielle Ofri](https://sms4smile.com/quotes/author/danielle-ofri/)

> [“Burnout also leads to a large swath of physicians who aren't as empathetic toward their patients as they could be.”](https://sms4smile.com/quotes/danielle-ofri/burnout-also-leads-to-a-large-swath-of-physicians-who-aren-t-as/)

[Danielle Ofri](https://sms4smile.com/quotes/author/danielle-ofri/)

> [“Grief ate at these doctors, distracting them from both their families and their patients. Many reported withdrawing from emotional involvement with their patients and…](https://sms4smile.com/quotes/danielle-ofri/grief-ate-at-these-doctors-distracting-them-from-both-their-families/)

[Danielle Ofri](https://sms4smile.com/quotes/author/danielle-ofri/)

> [“Empathy requires being attuned to the patient's perspective and understanding how the illness is woven into this particular persons' life. Last--and this is where…](https://sms4smile.com/quotes/danielle-ofri/empathy-requires-being-attuned-to-the-patient-s-perspective-and/)

[Danielle Ofri](https://sms4smile.com/quotes/author/danielle-ofri/)

> [“Hospital life--with its byzantine array of moving parts layered atop the unpredictable rhythms of illness--is a permanent state of flux.”](https://sms4smile.com/quotes/danielle-ofri/hospital-life-with-its-byzantine-array-of-moving-parts-layered-atop/)

[Danielle Ofri](https://sms4smile.com/quotes/author/danielle-ofri/)

> [“Fear is a primal emotion in medicine. Every doctor can tell you of times when she or he was terrified; most can list more…](https://sms4smile.com/quotes/danielle-ofri/fear-is-a-primal-emotion-in-medicine-every-doctor-can-tell-you-of/)

[Danielle Ofri](https://sms4smile.com/quotes/author/danielle-ofri/)

> [“But I realized that not only did I need to keep tuning my skills as a doctor, I also had to figure out a…](https://sms4smile.com/quotes/danielle-ofri/but-i-realized-that-not-only-did-i-need-to-keep-tuning-my-skills-as-a/)

[Danielle Ofri](https://sms4smile.com/quotes/author/danielle-ofri/)

> [Being a doctor, I worry that the patient may be uncomfortable about sharing something. It could be sexual dysfunction, an eating disorder, depression, domestic…](https://sms4smile.com/quotes/danielle-ofri/being-a-doctor-i-worry-that-the-patient-may-be-uncomfortable-about/)

[Danielle Ofri](https://sms4smile.com/quotes/author/danielle-ofri/)

> [“Empathy--the ability to identify with someone else's suffering--is certainly a prerequisite for a genuine apology.”](https://sms4smile.com/quotes/danielle-ofri/empathy-the-ability-to-identify-with-someone-else-s-suffering-is/)

[Danielle Ofri](https://sms4smile.com/quotes/author/danielle-ofri/)

> [“Neuroscientist Antonio Damasio describes emotions as the "continuous musical line of our minds, the unstoppable humming." This basso continuo thrums along while doctors make…](https://sms4smile.com/quotes/danielle-ofri/neuroscientist-antonio-damasio-describes-emotions-as-the-continuous/)

[Danielle Ofri](https://sms4smile.com/quotes/author/danielle-ofri/)

> [“Thus, whatever the medical student has been taught, and even genuinely believes, about the ideals of medicine, the primacy of empathy, the value of…](https://sms4smile.com/quotes/danielle-ofri/thus-whatever-the-medical-student-has-been-taught-and-even-genuinely/)

[Danielle Ofri](https://sms4smile.com/quotes/author/danielle-ofri/)

> [“But while the patient does bear some responsibility, I believe that the onus falls more heavily on the doctor to be attuned to the…](https://sms4smile.com/quotes/danielle-ofri/but-while-the-patient-does-bear-some-responsibility-i-believe-that/)

[Danielle Ofri](https://sms4smile.com/quotes/author/danielle-ofri/)

> [Doctors are taught in medical school that people ususally underreport their alcohol and drug use, so we genreal double the amount we're told. Don't…](https://sms4smile.com/quotes/danielle-ofri/doctors-are-taught-in-medical-school-that-people-ususally-underreport/)

[Danielle Ofri](https://sms4smile.com/quotes/author/danielle-ofri/)

> [“Suddenly, I was plunged back into an avid learning environment, starting at the bottom and working my way painstakingly up the mountain. The thrill…](https://sms4smile.com/quotes/danielle-ofri/suddenly-i-was-plunged-back-into-an-avid-learning-environment/)

[Danielle Ofri](https://sms4smile.com/quotes/author/danielle-ofri/)

[Explore all 22 Danielle Ofri quotes ](https://sms4smile.com/quotes/author/danielle-ofri/)

## More Anxiety quotes

> [“Anything that you find yourself worrying about regularly may find you suddenly wanting unrealistic changes.”](https://sms4smile.com/quotes/nagisa-tatsumi/anything-that-you-find-yourself-worrying-about-regularly-may-find-you/)

Nagisa Tatsumi

> [Bein Crazy is the least of my worries.](https://sms4smile.com/quotes/jack-kerouac/bein-crazy-is-the-least-of-my-worries/)

[Jack Kerouac](https://sms4smile.com/quotes/author/jack-kerouac/)

> [The answer to deep anxiety is the deep adoration of God.](https://sms4smile.com/quotes/ann-voskamp/the-answer-to-deep-anxiety-is-the-deep-adoration-of-god/)

[Ann Voskamp](https://sms4smile.com/quotes/author/ann-voskamp/)

> [“Fear of seeing a police car pull into the drive. Fear of falling asleep at night. Fear of not falling asleep. Fear of the…](https://sms4smile.com/quotes/raymond-carver/fear-of-seeing-a-police-car-pull-into-the-drive-fear-of-falling/)

[Raymond Carver](https://sms4smile.com/quotes/author/raymond-carver/)

> [I get nervous when I don't get nervous. If I'm nervous I know I'm going to have a good show.](https://sms4smile.com/quotes/beyonce-knowles/i-get-nervous-when-i-don-t-get-nervous-if-i-m-nervous-i-know-i-m/)

[Beyonce Knowles](https://sms4smile.com/quotes/author/beyonce-knowles/)

> [“Every invention comes through anxiousness.”](https://sms4smile.com/quotes/rakesh-wadhwani/every-invention-comes-through-anxiousness/)

[Rakesh Wadhwani](https://sms4smile.com/quotes/author/rakesh-wadhwani/)

> [“Do Not Be Anxious 25 e “Therefore I tell you,  f do not be anxious about your life, what you will eat or what you will drink,…](https://sms4smile.com/quotes/anonymous/do-not-be-anxious-25-e-therefore-i-tell-you-f-do-not-be-anxious-about/)

[Anonymous](https://sms4smile.com/quotes/author/anonymous/)

> [“Nothing happens on its own, you have to make things happen. If you really want to come out of your stressful situation than you…](https://sms4smile.com/quotes/subodh-gupta/nothing-happens-on-its-own-you-have-to-make-things-happen-if-you/)

[Subodh Gupta](https://sms4smile.com/quotes/author/subodh-gupta/)

> [“I guess if we're talking about my anxiety, the even truthier truth is it started way before that.”](https://sms4smile.com/quotes/kerry-winfrey/i-guess-if-we-re-talking-about-my-anxiety-the-even-truthier-truth-is/)

[Kerry Winfrey](https://sms4smile.com/quotes/author/kerry-winfrey/)

> [I was a very good student. Procrastinating gives me anxiety, and getting a B really ticked me off. Sure, I didn't always want to…](https://sms4smile.com/quotes/josie-loren/i-was-a-very-good-student-procrastinating-gives-me-anxiety-and/)

[Josie Loren](https://sms4smile.com/quotes/author/josie-loren/)

> [“The suspense: the fearful, acute suspense: of standing idly by while the life of one we dearly love, is trembling in the balance; the…](https://sms4smile.com/quotes/charles-dickens/the-suspense-the-fearful-acute-suspense-of-standing-idly-by-while-the/)

[Charles Dickens](https://sms4smile.com/quotes/author/charles-dickens/)

> [The party in Alobar’s head, which agitation and anxiety were throwing, now was crashed by a notion: existence can be rearranged.](https://sms4smile.com/quotes/tom-robbins/the-party-in-alobar-s-head-which-agitation-and-anxiety-were-throwing/)

[Tom Robbins](https://sms4smile.com/quotes/author/tom-robbins/)

> [As you know, I have been very open about my struggle with social anxiety.](https://sms4smile.com/quotes/summer-walker/as-you-know-i-have-been-very-open-about-my-struggle-with-social/)

[Summer Walker](https://sms4smile.com/quotes/author/summer-walker/)

> [Anxiety is not to be managed it is a sin that needs to be repented of](https://sms4smile.com/quotes/mark-driscoll/anxiety-is-not-to-be-managed-it-is-a-sin-that-needs-to-be-repented-of/)

[Mark Driscoll](https://sms4smile.com/quotes/author/mark-driscoll/)

> [“I’ve always seen this in you, ever since you were a little girl — this hunger to love other people into their highest selves…](https://sms4smile.com/quotes/jennifer-elisabeth/i-ve-always-seen-this-in-you-ever-since-you-were-a-little-girl-this/)

[Jennifer Elisabeth](https://sms4smile.com/quotes/author/jennifer-elisabeth/)

[Browse all 4,944 Anxiety quotes ](https://sms4smile.com/quotes/about/anxiety/)

```json
{
    "@context": "https://schema.org",
    "@graph": [
        {
            "@type": "Quotation",
            "text": "When a patient tells a doctor that every symptom is the most horrible ever - and the physical exam and labs are normal - we often suspect something psychological is going on. The symptoms aren't fake. They're physical manifestations of anxiety, depression, and stress. So while I'm always on the lookout for a serious underlying disease.",
            "creator": {
                "@type": "Person",
                "name": "Danielle Ofri"
            },
            "isPartOf": {
                "@id": "https://sms4smile.com/quotes/#website"
            },
            "url": "https://sms4smile.com/quotes/danielle-ofri/when-a-patient-tells-a-doctor-that-every-symptom-is-the-most-horrible/",
            "about": {
                "@type": "Thing",
                "name": "Anxiety"
            },
            "@id": "https://sms4smile.com/quotes/danielle-ofri/when-a-patient-tells-a-doctor-that-every-symptom-is-the-most-horrible/#quotation",
            "image": {
                "@type": "ImageObject",
                "@id": "https://sms4smile.com/quotes/i/d6c/danielle-ofri-26196_anxiety_when-a-patient-tells-a-doctor-that-every_2870272.jpg",
                "contentUrl": "https://sms4smile.com/quotes/i/d6c/danielle-ofri-26196_anxiety_when-a-patient-tells-a-doctor-that-every_2870272.jpg",
                "url": "https://sms4smile.com/quotes/i/d6c/danielle-ofri-26196_anxiety_when-a-patient-tells-a-doctor-that-every_2870272.jpg",
                "width": 1080,
                "height": 1080,
                "caption": "“When a patient tells a doctor that every symptom is the most horrible ever - and the physical exam and labs…” — Danielle Ofri",
                "creditText": "SMS4Smile Quotes",
                "creator": {
                    "@id": "https://sms4smile.com/quotes/#organization"
                }
            }
        },
        {
            "@type": "BreadcrumbList",
            "itemListElement": [
                {
                    "@type": "ListItem",
                    "position": 1,
                    "name": "Home",
                    "item": "https://sms4smile.com/"
                },
                {
                    "@type": "ListItem",
                    "position": 2,
                    "name": "Quotes",
                    "item": "https://sms4smile.com/quotes/"
                },
                {
                    "@type": "ListItem",
                    "position": 3,
                    "name": "Danielle Ofri",
                    "item": "https://sms4smile.com/quotes/author/danielle-ofri/"
                },
                {
                    "@type": "ListItem",
                    "position": 4,
                    "name": "When a patient tells a doctor...",
                    "item": "https://sms4smile.com/quotes/danielle-ofri/when-a-patient-tells-a-doctor-that-every-symptom-is-the-most-horrible/"
                }
            ],
            "@id": "https://sms4smile.com/quotes/danielle-ofri/when-a-patient-tells-a-doctor-that-every-symptom-is-the-most-horrible/#breadcrumb"
        },
        {
            "@type": "WebSite",
            "@id": "https://sms4smile.com/quotes/#website",
            "name": "SMS4Smile Quotes",
            "url": "https://sms4smile.com/quotes/",
            "publisher": {
                "@id": "https://sms4smile.com/quotes/#organization"
            }
        },
        {
            "@type": "Organization",
            "@id": "https://sms4smile.com/quotes/#organization",
            "name": "SMS4Smile Quotes",
            "url": "https://sms4smile.com/quotes/",
            "logo": {
                "@type": "ImageObject",
                "url": "https://sms4smile.com/quotes/wp-content/themes/sq/assets/icons/icon-512.png",
                "width": 512,
                "height": 512
            }
        }
    ]
}
```
