We have two ways for coping: the way of avoidance or the way of acceptance. The present study aimed to determine the most adaptable coping strategies of patients with diagnosed somatoform disorder. Along with, we elicited whether patients preferred problem focused or emotional focused coping strategy. The present study was a cross-sectional and observational study on patients referred by psychiatrists, who presented with persistent, medically unexplained, physical symptoms in pure psychiatric setup of a medical college and hospital. Study consisted of 72 somatoform disorder patients those who were diagnosed and were willing to undergo the psychological assessment. Patients were divided into two groups on the basis of symptom frequency and duration, as determined by the Diagnostic Interview Schedule: somatic syndrome group (N=49) and somatic sub-syndrome group (N=23). Both the groups were gone through eight emotion‐ and problem‐focused strategies, as used by the coping strategy inventory. Average age among participated was 49.1±15.8years. 74% of patients were women and 26% was men who reported unexplained physical symptoms. With respect of coping strategy, multi variate logistic regression prominent that sociodemographic factors positively correlated with the adaptations of different types of coping strategy. Group I and Group II was negatively associated with seeking of coping strategies. The findings of the present study elicited that patients with somatoform disorder patients tends to follow emotional focused coping strategies rather than problem focused one. The results are basis for further research to evaluate psychological intervention for breast cancer patients with that also to evaluate operationalize psychobehavioural factors in this patients group