<p>Hypochondriasis is one of the common psychosomatic disorders where the individual has a preoccupation with the fear of having or belief that one has a severe disease, is&#xa0;not (entirely) accounted for by the physical condition, and is resistant to medical reassurance. The preoccupation illustrated in this case is the client’s misinterpretation of normal bodily functions (heart rate, sweating, etc.) and other minor physical symptoms (minor bleeding while passing hard stool, constant headache, etc.). After being examined adequately by general medical practitioners and medical reports suggesting normal impressions, he has become apprehensive about developing any chronic, life-threatening disease as he has encountered a similar incident in the recent past, where, due to his parent’s carelessness, he had to suffer. Here, the therapist has adopted an integrative psychotherapeutic approach in dealing with the client’s illness anxiety symptoms, initially by applying a few behavioral strategies along with relaxation techniques and ending the session with cognitive behavioral interventions by challenging his dysfunctional beliefs (using the downward arrow technique). A brief intervention of eight sessions has led to overall symptom reduction, and even after termination, regular follow-up sessions were conducted to check the ongoing mental health status of the client and also to boost his morale by giving him appreciatory remarks for his untiring efforts in dealing with his anxiety adaptively.</p>

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The Reports Are Normal, but I still Have a Doubt: Managing Hypochondriasis Using Cognitive-Behavioral Interventions

  • Rajdeep Dutta

摘要

Hypochondriasis is one of the common psychosomatic disorders where the individual has a preoccupation with the fear of having or belief that one has a severe disease, is not (entirely) accounted for by the physical condition, and is resistant to medical reassurance. The preoccupation illustrated in this case is the client’s misinterpretation of normal bodily functions (heart rate, sweating, etc.) and other minor physical symptoms (minor bleeding while passing hard stool, constant headache, etc.). After being examined adequately by general medical practitioners and medical reports suggesting normal impressions, he has become apprehensive about developing any chronic, life-threatening disease as he has encountered a similar incident in the recent past, where, due to his parent’s carelessness, he had to suffer. Here, the therapist has adopted an integrative psychotherapeutic approach in dealing with the client’s illness anxiety symptoms, initially by applying a few behavioral strategies along with relaxation techniques and ending the session with cognitive behavioral interventions by challenging his dysfunctional beliefs (using the downward arrow technique). A brief intervention of eight sessions has led to overall symptom reduction, and even after termination, regular follow-up sessions were conducted to check the ongoing mental health status of the client and also to boost his morale by giving him appreciatory remarks for his untiring efforts in dealing with his anxiety adaptively.