The literature has described the difficulties in getting somatizing patients to follow through with psychiatric treatment. Part of the difficulty stems from the patient's belief that she or he is being written off as "a head case." This young woman was no exception, as indicated by her comments to the psychologist that she did not need a "headshrinker
." It is very important for physicians referring somatizing patients for psychological evaluation or treatment to stress to the patients that their physical symptoms are very real and deserving of attention, but that the treatment is not what it would be if the symptoms had a biological basis.