&quot;dismiss&quot;...&quot;nothing but anxiety&quot;: Your question seems to imply that a psychological etiology is somehow less important than a physical etiology. Wouldn&#x27;t the most important thing be developing a standard reproducible diagnostic criteria, then working on preventing or curing the problem? The parent comment seems to me to be a well-reasoned, nuanced description of the difficulties of dealing with this clinical scenario, and doesn&#x27;t impose any value judgements regarding the &#x27;intrinsic worth&#x27; of a medical symptom or etiology.