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HypochondriasisAka: Hypochondriac

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  1. See Also
    1. Somatoform Disorder
    2. Somatization Risk Factors
    3. Somatization Symptoms
    4. Somatization Management
    5. Somatoform Disorder Management Pitfalls
    6. Somatization Disorder
    7. Conversion Disorder
    8. Pain Disorder
  2. Epidemiology
    1. Peak onset: ages 20 to 40 years
    2. Prevalence: 2 to 7% in U.S. primary care settings
  3. Diagnosis: Hypochondriasis
    1. Must meet criteria for a Somatoform Disorder
      1. Unexplained physical symptoms
      2. Not due to condition of Secondary Gain (Malingering or Factitious Disorder)
      3. Causes dysfunction
    2. Specific criteria for Hypochondriasis
      1. Nondelusional preoccupation for at least 6 months
      2. Fixation or fear of a serious or life-threatening medical condition
  4. Symptoms
    1. Patient preoccupied with mild symptoms
      1. Believes illness is serious or life-threatening
      2. Angrily rejects reassurance of good health
      3. Demands further evaluation and treatment
      4. Shops from physician to physician
    2. Hyperalert to symptoms
      1. Presents symptoms in minute detail
      2. "Knows what the trouble is"
      3. Wants physician to concur with their self-diagnosis
  5. Associated conditions
    1. Schizophrenia
    2. Major Depression
    3. Dysthymic Disorder
    4. Organic Brain Syndrome
  6. Differential Diagnosis
    1. Somatoform Disorder
    2. Chronic Factitious Disorder
    3. Malingering
  7. Management
    1. See Somatoform Disorder Management
  8. Course
    1. Chronic life-long illness
  9. References
    1. Tomb (1988) Psychiatry, Williams & Wilkins, p. 96-7

Hypochondriasis (C0020604)

Definition (MSH)Preoccupation with the fear of having, or the idea that one has, a serious disease based on the person's misinterpretation of bodily symptoms. (APA, DSM-IV)
Definition (CSP)preoccupation with the fear of having, or the idea that one has, a serious disease based on the person's misinterpretation of bodily symptoms.
ConceptsMental or Behavioral Dysfunction (T048)
ICD9300.7
MSHD006998
EnglishHypochondria, Hypochondriacal disorder, Hypochondriacal Neuroses, Hypochondriacal Neurosis, Hypochondriasis
Spanishhipocondria, hipocondriasis, neurosis hipocondriaca
Parent ConceptsNeurotic Disorders (C0027932), Anxiety, dissociative and somatoform disorders (C1456316), Somatoform Disorder (C0037650), Mental disorders (C0004936), Duplicate concept (C1274013)
SourcesAOD, COSTAR, CSP, CST, DXP, ICD9CM, LCH, MSH, MTH, NCI, NDFRT, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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