Depression, anxiety and tension are usually found in combination with hostility, irritability and social withdrawal. This patient is expressing a great number of physical complaints and bodily preoccupations. Symptoms are likely fixed, organized and chronic. Somatization in similar individuals often leads to functional pain, fatigue and weakness. Poor social judgment and inability to profit from experience are frequent characteristics.
Psychological conflict is clearly manifest in highly visible behavioral correlates.
Similar individuals often display conflict with authority figures, anti-social acts and manipulative interpersonal stratagems. They may be able to form only superficial and shallow relationships. Similar individuals are often seen as very resentful and suspicious of others. It is likely that this patient feels frequently mistreated. A careful appraisal should differentiate between reality situations and fixed beliefs which may have delusional qualities.