Hypochondriasis

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Hypochondriasis
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Excessive worry about having a serious illness
Complications	Anxiety, depression
Onset	Any age, but often early adulthood
Duration	Chronic
Types	N/A
Causes	Unknown, possibly psychological, biological, or environmental factors
Risks	Family history, stress, major life changes
Diagnosis	Based on clinical assessment
Differential diagnosis	Somatic symptom disorder, illness anxiety disorder, obsessive-compulsive disorder
Prevention	N/A
Treatment	Cognitive behavioral therapy, medication
Medication	N/A
Prognosis	Varies; can be chronic
Frequency	Unknown, but estimated to affect 1-5% of the population
Deaths	N/A

Hypochondriasis, more commonly known as hypochondria, is a condition characterized by excessive worry about having an illness despite the absence of any real medical condition. Individuals with hypochondria experience inaccurate perceptions of their human body and become unduly alarmed by even the slightest physical symptom. They are convinced that they are about to become sick or have health problems, often causing significant distress and functional impairment.

Signs and symptoms

Hypochondria can manifest with a variety of symptoms, including:

• Persistent fears of having a serious medical condition, despite negative test results and reassurances from healthcare professionals
• Misinterpreting normal bodily sensations as signs of illness
• Preoccupation with bodily functions and symptoms
• Frequent medical appointments and seeking reassurance from healthcare professionals
• Excessive self-examination and self-diagnosis
• Avoidance of situations or activities believed to cause illness or exacerbate symptoms

Causes

The exact cause of hypochondria is unknown, but it is likely influenced by a combination of genetic, environmental, and psychological factors. Some potential contributors to the development of hypochondria include:

• Family history of hypochondria or anxiety disorders
• History of childhood abuse or neglect
• Personality traits, such as neuroticism or perfectionism
• Excessive exposure to medical information, such as through the internet or media
• Having a serious illness in the past or witnessing a loved one experience a severe illness

Diagnosis

Diagnosis of hypochondria is typically made by a mental health professional, such as a psychiatrist or psychologist, after ruling out any underlying medical conditions that may be causing the symptoms. The diagnostic criteria for hypochondria, according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), include:

• Preoccupation with having a serious illness, based on the misinterpretation of bodily sensations
• Persistent worry despite appropriate medical evaluation and reassurance
• Significant distress or functional impairment caused by the worry
• Symptoms not better explained by another mental disorder

Treatment

Treatment for hypochondria often involves a combination of psychotherapy and medication. The primary goal of treatment is to help individuals manage their anxiety and reduce their preoccupation with perceived health problems. Some common treatment approaches include:

• Cognitive-behavioral therapy (CBT): A form of psychotherapy that focuses on identifying and changing negative thought patterns and behaviors
• Selective serotonin reuptake inhibitors (SSRIs): A class of medications commonly used to treat anxiety and depression
• Exposure and response prevention (ERP): A form of CBT that involves gradually facing feared situations while resisting the urge to engage in compulsive behaviors
• Relaxation techniques: Deep breathing exercises, progressive muscle relaxation, or mindfulness meditation to help manage anxiety

Prognosis

The prognosis for individuals with hypochondria varies. Some individuals may experience a complete resolution of symptoms with appropriate treatment, while others may have chronic or episodic symptoms throughout their lives. Early intervention and adherence to a comprehensive treatment plan can improve the overall prognosis for individuals with hypochondria.

See also

• Anxiety disorders
• Somatoform disorders
• Health anxiety
• Conversion disorder
• Body dysmorphic disorder

External links

• National Institute of Mental Health: Somatic Symptom Disorders
• Anxiety and Depression Association of America: Health Anxiety
• International OCD Foundation: Expert Opinion on Health Anxiety

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