Hypochondriasis. Medical management and psychiatric treatment

Psychosomatics
A J Barsky

Abstract

This study describes a 2-part approach to the hypochondriacal patient: 1) a strategy for medical management, and 2) a specific psychiatric therapy. Medical management rests on the physician's recognition that patients have psychological and interpersonal reasons for feeling symptomatic and seeking medical attention. After gaining this appreciation, the physician can stop trying to cure the patient's symptoms, and the goal of management then shifts to assisting the patient in coping with the symptoms. A specific psychotherapy is then presented. Group discussions and cognitive and behavioral exercises are used to teach patients to moderate four factors that amplify somatic distress and hypochondriacal health concerns: the attention they pay to their symptoms, their thoughts about them, the context in which they experience their symptoms, and their moods.

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Citations

Jun 8, 2001·Current Treatment Options in Neurology·Donald M. HiltyMark E. Servis
Aug 12, 2006·Current Treatment Options in Neurology·Donald M HiltyCelia H Chang
Jun 14, 2002·General Hospital Psychiatry·Richard W MalisRussell Noyes
Aug 22, 2002·Psychosomatics·Kevin D KjernistedMark Lander
May 12, 2007·Progress in Neuro-psychopharmacology & Biological Psychiatry·Pierluigi Politi, Enzo Emanuele
Dec 16, 1998·Lancet·D I Ben-Tovim, A Esterman
Apr 19, 2005·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Wolfgang Von Hiller
Jul 6, 2010·The Psychiatric Clinics of North America·Lesley A Allen, Robert L Woolfolk
Oct 19, 2013·Journal of Behavior Therapy and Experimental Psychiatry·Robert E Brady, Jeffrey M Lohr
Apr 20, 2001·International Journal of Psychiatry in Medicine·J S PersingR L Happel
Dec 1, 2017·Journal of Clinical Medicine·Angela CooperJoel Town

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