Basic ApproachWe can help stressed patients by:• Listening• Taking a good history, to exclude organic disease and • Allaying fear by explaining how stress causes real symptoms. We can also:• Empathize• Validate feelings• Reassure them they aren’t crazy• Remind them that most people cope pretty well with even really bad events, and that • Anxiety and sadness are sometimes normal. We could:• Comment on how they seem to be coping, and suggest new strategies. • Do formal counselling if we have time• Refer for therapy