This column/blog is still Dr. Jackie's Mental Health Moment, sometimes to be called "Dr. J's MHM," so I can fit in a bigger title.
Consider the man who complains of lack of sexual desire, aches and pains, lack of emotion, disinterest in former hobbies, and a heavy sense of responsibility. One doctor says his symptoms are typical of low testosterone, not atypical for his age (mid-60's). Another blames his chronic back pain. A psychologist says he's depressed and everything else would fall in place with counseling . Another psychologist says it all started with trauma in childhood, underlying rage, internatization of feelings and resulting somatization (feeling emotinal pain as physical). Each specialist believes that all the symptoms simply mask the underlying casue they subscribe to. Probably, the truth is a combination of all of it. Whatever the patient does to relieve any of his symptoms will help him in all areas, hopefully.
So, he could start with counseling, relax better, learn to distract himself more, think differently, work through his inner rage and trauma and cope better all around. Or he could get physical relief through medication, Yoga, heat, physical therapy, etc. and feel better psychologically, as well. Or a happy relationship, a new experience or some good luck could come along and serve as at least a temporary fix, too.
I'm not sure if it matters how he improves. Just that he does something in the right direction. What do you think?