Psychological Treatment Of Health Anxiety And Hypochondriasis

Between 25% and 50% of visits to primary care clinics are for somatic complaints with no identifiable organic pathology. While most people are reassured when told they are not ill, a certain percentage is convinced the doctor has missed something serious. For centuries, hypochondriasis and persistent somatic complaints have baffled physicians and mental health professionals alike. Recent decades, however, have seen advances in the understanding and treatment of this problem when it is considered a form of "health anxiety." In this highly practical and accessible book, Jonathan Abramowitz and Autumn Braddock present a model of health anxiety and hypochondriasis grounded in the most up-to-date clinical science and that incorporates physiological, cognitive, and behavioral processes. They also offer a step-by-step guide to assessment, conceptualization, and psychological treatment that is derived from this model and integrates strategies for psychoeducation, cognitive therapy, behavioral therapy (exposure and response prevention), and dealing with resistance to treatment. The book is packed with illustrative clinical examples and therapist-patient dialogues. Sample forms and handouts are also provided. This volume, which also addresses motivational problems and other common obstacles in treating individuals with health anxiety, is an essential resource for students and researchers in behavioral medicine and health psychology, and for anyone working with patients in hospitals, primary care settings, academic medical centers, and freestanding mental health clinics.

Cognitive-behavioral therapy is now the treatment of choice for individuals with health anxiety and related problems. The latest research shows that it results in reductions in health-related worries, reassurance-seeking behavior, and phobic avoidance, as well as increases in life satisfaction and everyday functioning. This compact, easy to understand book by experts Jonathan S. Abramowitz and Autumn E. Braddock opens with an overview of the diagnostic issues and assessment of health anxiety, and delineates a research-based conceptual framework for understanding the development, maintenance, and treatment of this problem. The focus of the book is a highly practical guide to implementing treatment, packed with helpful clinical pearls, therapist-patient dialogues, illustrative case vignettes, and sample forms and handouts. Readers are equipped with skills for engaging reluctant patients in treatment and tailoring educational, cognitive, and behavioral techniques for health-related anxiety. The book, which also addresses common obstacles in treatment, represents an essential resource for anyone providing services for individuals with somatoform or anxiety disorders.

In the recently updated Diagnostic and Statistical Manual of Mental Disorders (DSM-5), the diagnostic concept of hypochondriasis was eliminated and replaced by somatic symptom disorder and illness anxiety disorder. Hypochondriasis and Health Anxiety: A Guide for Clinicians, edited by Vladan Starcevic and Russell Noyes and written by prominent clinicians and researchers in the field, addresses current issues in recognizing, understanding, and treating hypochondriasis. Using a pragmatic approach, it offers a wealth of clinically useful information. The book also provides a critical review of the underlying conceptual and treatment issues, addressing varying perspectives and synthesizing the current research. Specific topics the text covers include: clinical manifestations, diagnostic and conceptual issues, classification, relationships with other disorders, assessment, epidemiology, economic aspects, course, outcome and treatment. Additionally, the book discusses patient-physician relationship in the context of hypochondriasis and health anxiety and presents cognitive, behavioral, interpersonal and psychodynamic models and treatments. The authors also address the neurobiological underpinnings of hypochondriasis and health anxiety and pharmacological treatment approaches. Based on the extensive clinical experience of its authors, there are numerous case illustrations and practical examples of how to assess, understand and manage individuals presenting with disease preoccupations, health anxiety and/or beliefs that they are seriously ill. It approaches its subject from various perspectives and is a work of integration and critical thinking about an area often shrouded in controversy.

Between 25% and 50% of visits to primary care clinics are for somatic complaints with no identifiable organic pathology. While most people are reassured when told they are not ill, a certain percentage is convinced the doctor has missed something serious. For centuries, hypochondriasis and persistent somatic complaints have baffled physicians and mental health professionals alike. Recent decades, however, have seen advances in the understanding and treatment of this problem when it is considered a form of health anxiety. This volume also addresses motivational problems and other common obstacles in treating individuals with health anxiety.

This volume brings together the major advances in the psychological and pharmacological treatments of health anxiety-the preoccupation with the fear of having a serious disease or illness-and relates it to a conceptual framework that provides a basis for assessment, treatment, and ongoing research. .

"The latest research shows that cognitive-behavioral therapy is now the treatment of choice for individuals with health anxiety and related problems. This concise, easy to understand book by experts Jonathan S. Abramowitz and Autumn E. Braddock opens with an overview of the diagnostic issues and assessment of health anxiety, and delineates a research-based conceptual framework for understanding the development, maintenance, and treatment of this problem. The focus of the book is a highly practical guide to implementing treatment, packed with helpful clinical pearls, therapist-patient dialogues, illustrative case vignettes, and sample forms and handouts. Readers are equipped with skills for engaging reluctant patients in treatment and tailoring educational, cognitive, and behavioral techniques for health-related anxiety, as well as addressing common obstacles in treatment."--Publisher's description.

The Clinician's Guide to Treating Health Anxiety: Diagnosis, Mechanisms, and Effective Treatment provides mental health professionals with methods to better identify patients with health anxiety, the basic skills to manage it, and ways to successfully adapt cognitive behavioral therapy to treat it. The book features structured diagnostic instruments that can be used for assessment, while also underscoring the importance of conducting a comprehensive functional analysis of the patient's problems. Sections cover refinements in assessment and treatment methods and synthesize existing literature on etiology and maintenance mechanisms. Users will find an in-depth look at who develops health anxiety, what the behavioral and cognitive mechanisms that contribute to it are, why it persists in patients, and how it can be treated. Provides clinicians with tools to better identify, manage and treat health anxiety Outlines a step-by-step behavioral treatment program Looks at the similarities and differences between health anxiety and other anxiety disorders Reviews self-report instruments that can be used to measure health anxiety on a dimensional scale Includes information about recent diagnostic changes according to DSM-5

Grounded in current theory and treatment research, this highly practical book presents a comprehensive framework for assessing and treating health anxiety, including full-blown and milder (subclinical) forms of hypochondriasis. The current state of knowledge about these prevalent and costly problems is reviewed, and assessment methods and empirically supported treatments described. Clear, step-by-step recommendations are provided for engaging patients or clients, implementing carefully planned cognitive and behavioral interventions, and troubleshooting potential pitfalls. Important advances in pharmacotherapy for persons with health anxiety disorders are also discussed. Enhancing the utility of this clinician- and student-friendly resource are numerous case examples and sample dialogues, quick-reference tables and boxed material, and over 20 reproducible handouts and assessment forms.