Illness anxiety disorder is preoccupation with and fear of having or acquiring a serious disorder. Diagnosis is confirmed when fears and symptoms (if any) persist for ≥ 6 months despite reassurance after a thorough medical evaluation. Treatment includes establishing a consistent, supportive physician-patient
relationship; cognitive-behavioral therapy and serotonin reuptake inhibitors may help. Illness anxiety disorder (previously called hypochondriasis, a term that has been abandoned because of its pejorative connotation) most commonly begins during early adulthood and appears to occur equally among men and women. The patient's fears may derive from misinterpreting nonpathologic physical symptoms or normal bodily functions (eg, borborygmi, abdominal bloating and crampy discomfort,
awareness of heartbeat, sweating). Patients with illness anxiety disorder are so preoccupied with the idea that they are or might become ill that their illness anxiety impairs social and occupational functioning or causes
significant distress. Patients may or may not have physical symptoms, but if they do, their concern is more about the possible implications of the symptoms than the symptoms themselves. Some patients examine themselves repeatedly (eg, looking at their throat in a mirror, checking their skin for lesions). They are easily alarmed by new somatic sensations. Some patients visit physicians frequently (care-seeking type); others rarely seek medical care (care-avoidant type). The course is
often chronic—fluctuating in some, steady in others. Some patients recover. Clinical evaluation The diagnosis of illness anxiety disorder is based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), including the following:
Patients can benefit from having a trustful relationship with a caring, reassuring physician. If symptoms are not adequately relieved, patients may benefit from a psychiatric referral while they continue under the care of the primary physician. Treatment with serotonin reuptake inhibitors may be helpful, as may cognitive-behavioral therapy. Click here for Patient Education  Copyright © 2022 Merck & Co., Inc., Rahway, NJ, USA and its affiliates. All rights reserved.
In which mental health disorder are physical or psychological symptoms or both fabricated to assume the sick role?Munchausen's syndrome is a psychological disorder where someone pretends to be ill or deliberately produces symptoms of illness in themselves. Their main intention is to assume the "sick role" so that people care for them and they are the centre of attention.
What is a mental disorder characterized by excessive fear of or preoccupation with a serious illness despite medical testing and reassurance to the contrary?Hypochondriasis is a mental disorder characterized by excessive fear of or preoccupation with a serious illness, despite medical testing and reassurance to the contrary. It was formerly called hypochondriacal neurosis.
What is hypochondriasis in psychology?Illness anxiety disorder, sometimes called hypochondriasis or health anxiety, is worrying excessively that you are or may become seriously ill. You may have no physical symptoms.
Which disorder involves a person being preoccupied with fear of having a serious disease?Illness anxiety disorder was previously referred to as "hypochondriasis." The person is preoccupied with having an illness or getting an illness – constantly worrying about their health. They may frequently check themselves for signs of illness and take extreme precautions to avoid health risks.
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Which mental health disorder is characterized by a fear of developing a serious illness based on a misinterpretation of body sensation?
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