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Hypochondriasis

Moshe S. Torem, MD, DLFAPA Reviewed 06/2018
 


BASICS

DESCRIPTION

  • In DSM-5, 75% of patients with hypochondriasis are classified in the new diagnostic category of somatic symptom disorder (300.82), and 25% of patients with hypochondriasis are now cl...

DIAGNOSIS

According to DSM-5, hypochondriasis is classified in the “Somatic Symptom and Related Disorders” section. Somatic symptom disorder and illness anxiety disorder are now the new diagnostic hom...

TREATMENT

The goals of treatment should focus on improving the patient's quality of life, symptom relief, and protecting the patient from the potential hazards of unnecessary and excessive laboratory,...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Protect the patient from unnecessary and excessive laboratory and radiologic tests. 

Patient Monitoring

  • Patients should be seen on a regular basis.

  • Appointments shou...

REFERENCES

1
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013:309–327.
2
Olde Hartman TC, Borghuis MS...

ADDITIONAL READING

  • Barsky AJ. Assessing the new DSM-5 diagnosis of somatic symptom disorder. Psychosom Med.  2016;78(1):2–4.

  • Cloninger CR, Dokucu M. Somatoform and dissociative disorders. In: Hoss...

CODES

ICD10

  • F45.21 Hypochondriasis

  • F45.22 Body dysmorphic disorder

  • F45.29 Other hypochondriacal disorders

  • F45.20 Hypochondriacal disorder, unspecified

ICD9

  • 300.7 Hypochondriasis

  • 300.82 Undifferentiated somat...

CLINICAL PEARLS

  • Hypochondriasis is the preoccupation with fears of having, or the idea of having a serious disease that persists despite appropriate medical evaluation and reassurance.

  • The natural hist...

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