A variety of psychosomatic disorders are featured on the popular TV series The Sopranos. In Tony Soprano’s case, a psychoanalytical approach is useful to elucidate the connection between narrative, rhetoric and psychosomatic illness. This chapter argues that psychosomasis is a rhetorical illness, and narrative is its performative medium. Tony’s panic attacks bring into discussion competing types of rhetoric that simultaneously justify and incriminate him as a mobster. These complications derive from his racialized position as an Italian-American in a multiracial America of uncertain economic prospects.