a set of difficulties and obstacles that doctors and psychotherapists face when trying to understand and determine the nature of the relationship between psychological and physical factors in a patient. Psychosomatic disorders are characterized by their position on the border between organic and psychological medicine, which poses a difficult task for specialists to distinguish between symptoms of purely physical origin and symptoms reflecting internal psychological tension or conflict. One of the most important challenges is the difficulty of obtaining a complete and accurate picture of a patient’s condition, given the interaction of biological, psychological, and social factors in the onset and development of symptoms. Moreover, the patient may not recognize or deny the psychological nature of his problem due to the stigma of mental illness or low level of self-awareness. The limitations of traditional diagnostic tools focused on the organic aspect necessitate the development of multidimensional scales and assessment methods that combine medical examinations, clinical interviews, and psychological tests. Specialists are also faced with the need to take into account the huge variety of patterns of physical response to psychological stress, as symptoms vary from person to person depending on their personality traits and cultural background. In addition, the presence of comorbidities or chronic diseases can further complicate the diagnosis, making it difficult to determine the relative weight of psychological and organic factors. Thus, the tasks of assessing and diagnosing psychosomatic disorders require an integrated, interdisciplinary approach that takes into account psychiatry, clinical psychology and therapeutic medicine to ensure accurate diagnosis and to develop a comprehensive treatment plan that takes into account both physical and psychological aspects.