I agree with you. I think it’s important that we don’t deny the very real existence of psychosomatic illness and the ways in which it interacts with organic disease. The scenario in which a patients symptoms are psychosomatic is likely far more common than the one i encountered, which to be honest was a one-off thing and I don’t think you have to be a psychiatrist to recognize that. nonetheless, it was disheartening to see this pt written off and the reasons why they were were pretty clear to me. I do think it’s important we keep in mind that psychogenic illness often coexists alongside organic illness. We should also do our best to destigmatize psychogenic symptoms and not put these patients in a box