Background: The long-existing traditional biomedical model was recently clashed with newer model of whole person care, i.e. biopsychosocial healthcare. The fact that the psychosocial factors affect physical diseases and symptoms should not be ignored. Acknowledging this trend, the clinical psychologists have joined primary care professionals in healthcare for more than 20 years at the National Taiwan University Hospital, Taiwan. The purpose of this study is to analyze the characteristics of patients who consulted stress clinic, to explore the possible factors motivating patient's acceptance to ensuing psychotherapy in order to promote comprehensive healthcare and provide guidance for continuing development of stress counseling.Methods: A total of 70 outpatients with psychosomatic symptoms referred from the department of family medicine for psychological assessment in March to September, 2009 were the study subjects. The Beck Anxiety Inventory (BAI), Beck Depression Inventory-2nd version (BDI-Ⅱ), and the short-form hostility scale were conducted to evaluate the emotional states. The Stress Assessment Scale was developed and used in the semi-structure interview in this study.Results: (1) The average age of the patients was 43.45. Most of them were female, married, with education level from high school to university. The most common physical complaint was insomnia, and 73% of patients had anxiety, 69% had depression, 49% had behavioral problems, 64% had social problems, and 51% complained stress coming from family. (2) There were significant differences in insomnia, total number of respiratory symptoms, and panic attack experiences between patients under psychotherapy treatment and patients receiving psychological assessment only but without treatment. (3) The sum of physical symptoms, BAI scores, BDI-Ⅱ scores, and hostility scores could not predict the number of psychotherapy sessions.Conclusions: Patients with life-threatening physical symptoms higher anxiety, more total symptom numbers, and more somatic symptoms had higher motivation to seek help and accept further psychotherapy. In this study, most patients received one-session service. Patients perceived more threats and sufferings seemed to receive more psychotherapy sessions but multivariate analysis failed to establish such a relationship. One explanation is that the variables in this study were too rough to reveal the relationships among the variables. Further studies should redefine and specify these variables.