We should provide tailor-made treatment for patients with intractable somatic symptom disorders (SSDs). For example, it would be ideal to select the best treatment method that fits each patient, modify it according to their condition, and even use a multidimensional approach when necessary.
 In pharmacotherapy, it is often necessary to use elaborate regimens such as augmentation therapy. Additionally, we should pay careful attention to nocebo responses.
 In cognitive behavioral therapy (CBT), we must carefully decide on the frequency, length, content, and type (i. e., individual or group) of sessions to improve treatment adherence.
 Unlike the traditional medical model, the goal of acceptance and commitment therapy (ACT) and Morita therapy is not to achieve symptom resolution, but rather to promote behavioral changes. Both therapies are appropriate for patients with intractable SSDs.
 Authors' abstract