Somatization in Chinese American clients: Implications for psychotherapeutic services

Chinese Americans have a tendency to somatize, or complain of physical discomforts, when they experience psychological or emotional problems. Differentiating whether these clients have a mental health problem or a physical ailment is a critical diagnostic and treatment issue. In addition, psychogenic somatic complaints need to be addressed in a culturally congruent manner in the context of psychotherapy. This paper examines the somatic symptoms commonly reported by Chinese American clients. Ways to address these issues in differential diagnosis and in treatment will be discussed along with case examples.Portions of this paper were presented at the 100th Annual Convention of the American Psychological Association, Washington, D.C., August, 1992.