Mental Health Book



Aka: Hypochondriasis, Hypochondriac, Illness Anxiety Disorder
  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: DSM-V - Illness Anxiety Disorder (replaces Hypochondriasis)
    1. Meets criteria and is a subset of Somatic Symptom Disorder
    2. Preoccupation with either contracting or having a serious medical disorder
    3. SubTypes
      1. Care-seeking subtype
      2. Care-avoidant subtype
  4. Diagnosis: DSM IV - 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
  5. 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
  6. Associated conditions
    1. Schizophrenia
    2. Major Depression
    3. Dysthymic Disorder
    4. Organic Brain Syndrome
  7. Differential Diagnosis
    1. Somatoform Disorder
    2. Chronic Factitious Disorder
    3. Malingering
  8. Management
    1. See Somatoform Disorder Management
  9. Course
    1. Chronic life-long illness
  10. 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.
Concepts Mental or Behavioral Dysfunction (T048)
MSH D006998
ICD9 300.7
ICD10 F45.2, F45.21
SnomedCT 192433006, 154891008, 18193002
DSM4 300.7
English Hypochondriacal Neuroses, Neurosis, Hypochondriacal, HYPOCHONDRIASIS, Hypochondriacal Neurosis, Hypochondriacal disorder, hypochondriasis (diagnosis), hypochondriasis, Hypochondriacal disorders, Hypochondriasis [Disease/Finding], hypochondria, hypochondrias, Neurosis;hypochondriacal, hypochondriasis disorder, hypochondriacal disorder, hypochondriacal disorder (diagnosis), Hypochondriacal disorder (disorder), Hypochondriacal neurosis, Hypochondria, Hypochondriasis (disorder), disease (or disorder); hypochondriacal, disorder; hypochondriacal, hypochondriacal; disorder, hypochondriacal; neurosis, neurosis; hypochondriacal, Hypochondriasis, hypochondriacal neurosis
French HYPOCHONDRIE, Hypocondrie, Hypochondrie, Nosophobie, Névrose hypochondriaque, Trouble hypochondriaque
Spanish HIPOCONDRIASIS, Hipocondria, hipocondriasis (trastorno), hipocondriasis, hipocondría, neurosis hipocondríaca, Hipocondría, Hipocondriasis, Neurosis Hipocondríaca
German HYPOCHONDRIE, Hypochondrische Stoerung, Hypochrondrie, Hypochondrie, Neurose, hypochondrische
Swedish Hypokondri
Japanese シンキショウ, 心気症, ヒポコンドリー, ヒポコンドリー症, 心気性神経症, 心気神経症, 神経症-心気性
Czech hypochondrie, Hypochondriáza
Finnish Hypokondrinen häiriö
Portuguese HIPOCONDRIA, Hipocondria, Hipocondríase, Neurose Hipocondríaca
Italian Nevrosi ipocondriaca, Ipocondria
Korean 건강염려성 장애
Polish Hipochondria, Nerwice hipochondryczne
Hungarian Hypochondriasis
Norwegian Kroppsdysmorfisk forstyrrelse, Hypokondri, Hypokondrisk forstyrrelse, Hypokondrisk nevrose
Dutch aandoening; hypochondrisch, hypochondrisch; aandoening, hypochondrisch; neurose, neurose; hypochondrisch, stoornis; hypochondrisch, Hypochondrische stoornis, hypochondrie, Hypochondrie, Neurose, hypochondrische
Derived from the NIH UMLS (Unified Medical Language System)

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