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Disease HYPOCHONDRIASIS
   
Quotation “Psychiatry is the oldest art and newest science in medicine”
   
Definition Mental disorder with excessive concern about one’s health in general as also about the integrity and function of some part of the body, and associated with anxiety and depression despite reassurances to contrary. Usually in the fourth and fifth decades of life.
   
Prognosis When mild and related to stress, it subsides with subsidence of stress. But in others the condition is chronic, is characterized by remissions and exacerbations, and the prognosis varies according to patient’s personality structure, social support, education, intelligence, motivation etc.
   
General Measures Reassuring the patient by repeating laboratory tests and mere referrals to specialist will not solve the problem.  Supportive psychotherapy and behavior modification are very helpful Regular exercise in moderation, and good nutrition.
   
Advice to Patient Explain to the patient in clear terms the kind of problem he/she has. This helps subsequent psychotherapy.
   
Follow Up Should be seen on a regular basis and not only when she/he has problems.  Should be listened to properly particularly on is social and family concerns. Calls for considerable empathy on  the party of the attending physican
   
Reference From www.mhsource.com/edu/psytimes/p980768.html
   

 

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