Hypochondria Britani Balderas Per 3.
The belief or fear of having a decease when he or she is just experimenting body sensations.
The diagnose may be overlap with anxiety disorder, obsessive compulsive disorder, generalized anxiety disorder [GAD], panic disorder, somatoform disorders somatization disorder, body dysmorphic disorder, conversion disorder, depressive disorders major depression, adjustment disorder, and others because of the similarities.
Associated Features • Though the doctors have told the person that she doesn’t suffer a decease she still preoccupies. • They feel really distress or anxious. • They misinterpret sensation of the body. • They go from doctor to doctor not being satisfied with what they are told.
DSM-IV-TR “A. Preoccupation with fears of having, or the idea that one has, a serious disease based on the person's misinterpretation of bodily symptoms.B. The preoccupation persists despite appropriate medical evaluation and reassurance.C. The belief in Criterion A is not of delusional intensity (as in , Somatic Type) and is not restricted to a circumscribed concern about appearance as in Body Dysmorphic Disorder.
DSM-IV-TR Continued… D. The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.E. The duration of the disturbance is at least 6 months.F. The preoccupation is not better accounted for by Generalized Anxiety Disorder, Obsessive-Compulsive Disorder, Panic Disorder, a Major Depressive Episode, Separation Anxiety, or another Somatoform Disorder.”
Etiology • There ha snot been a reason found of why hypochondria appears • The diagnosis is mostly bases on the mental status examination results. Meaning they would see how the person is working mentally.
Prevalence • Hypochondria can manifest at anytime. Though it is mostly seen during the ages 20 to 30. • It is diagnose evenly between men and women but some may say that it is more commonly found in men. • It’s not a chronic disorder. http://www.youtube.com/watch?v=aD7Mzpw2Ga4
Treatment • Its better if the patient has only one doctor to avid multiple test. • He is let known that the follow ups are just to • Medication has been used but it has been found to have better out comes when using Cognitive Behavior Therapy (CBT). • He is connected to a PA who is trained to provide CBT. • In the therapy the patient is given reassurance. This may go away after some time and the hypochondria may return.
At first they should meet every 4 week. • The patient is help to interpret the symptoms properly rather than focusing on the intensity of the pain or where he’s felling it. • If the patient is administer medication it must be limited and the time the PA will spend with him too. • The PA must be careful of how he gives the reassurance and keep in mind that he’s trying to make the patient see that the symptoms are not what he believes they are rather than make him believe they don’t exist. • As they progress time during session can be change depending on what the PA Observes.
Prognosis • If the patient continues with his treatment most likely he’ll get better. • There are some complications: • The patient might later have an illness or decease but it may be overlook. • Patient might become dependent of some drug or alcohol in their need to ease the symptoms. • Might become socially isolated. • Might have family or work problems because of medical bills or because of having to go to therapy.
Discussion Questions • What does this information mean to society? • If we didn’t had this information how would we characterize people with hypochondriasis?
References PudMed Health (2011). Hypochondria: hypochondriasis. Retrieved from: http:// www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002216/ AARP (2011). Health article: hipochondriasis. Retrieved from: http://healthtools.aarp.org/adamcontent/hypochondria?CMP=KNC- 360I-GOOGLE- HEA&HBX_PK=hypochondriasis&utm_source=Google&utm_mediu m=cpc&utm_term=hypochondriasis&utm_campaign=G_Diseases%2B and%2BConditions%2B- %2BMobile&360cid=SI_229416847_8240834821_1 JAAPA (2007). Hypondrasis: meeting the management challenge. Retrieved from: http://www.jaapa.com/hypochondriasis-meeting-the-management- challenge/article/136962/ Wikipedia (2011). Hypochondriasis. Retrieved from: http://en.wikipedia.org/wiki/Hypochondriasis