[Hypochondriasis].
In a female patient aged 33 years and suffering from excessive concern with her physical health, hypochondriasis was diagnosed. By cognitive behavioural therapy the obsessive thoughts, controlling behaviour and avoidance behaviour were alleviated. After treatment the patient needed fewer consultations. In general practice hypochondriasis is a common problem. Patients will ask for a lot of diagnostic tests. Nothing will give them enough reassurance and there can be irritation. The general practitioner must confront them with the fact that their main problem is hypochondriasis and search for solutions. Cognitive and behavioural therapy as well as treatment with antidepressive drugs may be helpful. The earlier the diagnosis and the start of treatment, the better the prognosis.
Van Boeijen
C A
CA
Vrije Universiteit, vakgroep Psychiatrie en Instituut voor Extramuraal Geneeskundig Onderzoek.
Oosterbaan
D B
DB
van Balkom
A J
AJ
de Meij
T G
TG
van Dyck
R
R
D000328:Adult; D000928:Antidepressive Agents / Q000627:therapeutic use; D001008:Anxiety Disorders / Q000175:diagnosis*; D015928:Cognitive Behavioral Therapy; D003866:Depressive Disorder / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006998:Hypochondriasis / Q000175:diagnosis* / Q000628:therapy*; D008016:Life Change Events; D010808:Physical Examination; D011569:Psychiatric Status Rating Scales; D012017:Referral and Consultation; D016896:Treatment Outcome
D000928:Antidepressive Agents
Hypochondrie.