Saturday, July 11, 2015

Treating hypochondriasis

My sister is a hypochondriac. Is there a treatment for this condition?

Hypochondriasis is a very common disorder; just go on to any social media like Facebook and all you will ever read is about the multiple illnesses people have (real and imagined). Every single day, these individuals have a different medical disorder or have a cockamamie story about a fictitious illness in someone in their family. Hypochondriasis is a very complex disorder and one of the most difficult to treat. The disorder is more common in women and it appears that anywhere from 10-20% of women are preoccupied with some type of imaginary illness all their life. The disorder is episodic and may last months to years and then disappears.

Many people with hypochondriasis have another psychiatric disorder like depression, generalized anxiety or panic disorder. In general, if there is a primary psychiatric disorder like depression, it can be treated with medications but if the individual only has hypochondriasis, psychotherapy is offered. Unfortunately psychotherapy often does not work and most individuals are not compliant with this therapy. No one likes to listen to bogus crap by therapists-so they just do not show up for the sessions. Plus psychotherapy is not cheap. The more stupid you look, the more sessions they enroll you for. The prognosis for hypochondriasis is variable. For those with good family support, 50% recover. Others continue to fake illness and eventually meet a surgeon, who really frecks them up for good.


The prognosis in children is much better than in adults.

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