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some major loss loved or nearest ones, jobs, homes. Even apparently pleasant changes such as a trip abroad can cause problem . The tourists who often complains about foreign food or water would probably be wiser to blame the tension of being in a strange place or atmosphere. Moreover inclination to minor illness , such as colds , may be caused by slight emotional stresses. Now the question may arise that , are doctors other than psychiatrists really able to handle such emotional stresses ? Numerous experiences illustrates that they are. And some medical schools now are offering short courses in office psychiatry to their graduates.although most physicians can not devote an hour to talk with a patient as psychiatrists do .But so long a time has been found unnecessary in treating most patients with psychogenic illness. So , the focal point is that they need the primary reassurance that their ills can be dealt with.Moreover, the patient should make an effort to protect himself when he knows that stress has made him vulnerable. And he can help the doctor when emotional disruption has preceded an illness. ,