It is interesting to contemplate the joint implications of the Hypochondriasis
and Ego Strength measures.
Aetiology of Psychogenic Non-epileptic Seizures (PNES) Post-traumatic stress: physical or sexual abuse severe family stressor Conversion disorders Dissociative disorders Psychiatric comorbidity: depression panic disorder affective disorders anxiety obsessive-compulsive disorders Hypochondriasis
Psychoses Somatization disorders Personality factors: borderline personality disorders overly controlled personality Table 2.
. When a person adamantly and falsely believes that he has a serious physical disease and expends time, effort, and money doctor-shopping to receive treatment for an illusory somatic ailment, why do we label it as a somatoform disorder instead of a somatic delusion?
Psychiatric syndromes such as chronic pain, substance use, and hypochondriasis
and somatization disorder are discussed in separate chapters.
Panic easily shifts to obsessive brooding and may culminate in hypochondriasis
followed by a pleasant, symptom-free state of hypomania.
The underlying cause is almost never malingering or hypochondriasis
, he noted.
Although most patients with TMD do not have a major psychiatric disorder, psychologic factors can certainly enhance the pain condition.[40-42] The clinician needs to consider such factors as anxiety, depression, secondary pain, somatization, and hypochondriasis
. Psychosocial factors may predispose certain individuals to TMD and may also perpetuate TMD once symptoms have become established.
The clinician receives a printed report that assesses the likelihood of 21 DSM- IV diagnoses, including past or current depression, mania, dysthymia, panic disorder, agoraphobia, obsessive-compulsive disorder, social phobia, simple phobia, generalized anxiety disorder, somatoform disorder, delusions, hallucinations, alcohol and substance abuse, anorexia, bulimia, hypochondriasis
, posttraumatic stress disorder, and body dysmorphic disorder.
The relationship (or lack of relationship) between medical theory and practice comes under scrutiny in papers reconstructing the framework of clinical knowledge at the Royal Infirmary of Edinburgh in the year 1770-1800, the social and cultural contexts of 18th century gynecology, and shifting constructions of hysteria and hypochondriasis
-- A meta-analysis incorporating 12 treatment studies indicates that antidepressants and cognitive-behavioral therapy both work well in the treatment of hypochondriasis
This instrument consists of 26 symptoms common to the somatization subscale of the Hopkins Symptom Checklist-90[23,24] and the hypochondriasis
subscale of the Minnesota Multiphasic Personality Inventory, on which responses are scored on a 5-point ordinal scale.
Differential diagnosis for pseudologia fantastica includes dementia, delusional disorder, antisocial personality disorder, borderline personality disorder, factitious disorder, malingering, hypochondriasis
, substance abuse/dependence, and schizophrenia/schizophreniform disorder.