hypochondriasis

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psychiatry psychiatry for medical students hypochondriasis the following clues need to be considered in making this daignosis: appropriate medical evaluation failed to find evidence of serious disease patient's preoccupation persisted despite adequate reassurance preoccupation lasted for 6 months or more preoccupation caused marked distress or impairment in functioning voiced concerns that are unrealistic but not beyond reason; for example, the patient may believe headaches indicate a brain tumor ( if its beyond reason then you will have to call it a “delusion”) failure of the patient to be reassured after appropriate work-ups causing him or her to seek further tests and consultations hypochondriasis hypochondriasis associations: seen in 50% of all patients with panic disorder major depressive disorder in these patients, coexisting hypochondriasis will respond to treatment for the primary disorder. d/d 3. panic disorder recurrent panic attacks with persistent dread of future attacks panic patients in primary care usually have …

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mal attitudes (i.e., fear, worry) d/d 7. psychotic disorders (schizophrenia, delusional disorder, major depressive disorder with psychotic features)  patients with hypochondriasis have overvalued ideas but not delusional beliefs. overvalued ideas are strongly held, but delusional ideas are accompanied by unshakeable conviction and are often bizarre hypochondriasis - therapy adopt a systematic approach to patients with hypochondriasis. here, you should aim to continue to care not a cure arrange regularly scheduled follow-ups. provide an explaination develop and maintain a positive relationship using interviewing skills. 2. cognitive behavioral therapy as a primary mode of therapy 3. in patients with hypochondriasis who have coexisting depressive or anxiety disorders, rx with an antidepressant.  start treatment with a serotonin reuptake inhibitor at low dose; for example, start sertraline, 12.5 mg/d, and increase by 12.5 mg every 5 days as tolerated until a daily dose of 50 mg is achieved somatization - management never …

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iatric disorder. consider antepartum counseling for women with risk factors for postpartum depression pregnancy & mood disorders understand peri-partum mood disorders differentiate post partum blues from post partum depression managing post partum blues and post partum psychosis which drugs are safe in treating mania in pregnancy? mania - pregnancy lithium is teratogenic (ebstein anomaly ) valproic acid causes neural tube defects. first trimester: haloperidol for psychosis, clonazepam for agitation; if mood stabilizer is necessary, lithium may be first choice ( category d drug, but risk may be acceptable given the problem of mania. ect is an alternative ( but it as a monotherpay may not be sufficient for mood stabilization – ect is safe in pregnancy, only issue might be fetal arrhythmias). second/third trimester/postpartum: lithium or anticonvulsants, haloperidol and/or clonazepam if truly needed. continue treatment postpartum if no obstetric complications. follow breast-fed infants closely * end

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psychiatry psychiatry for medical students hypochondriasis the following clues need to be considered in making this daignosis: appropriate medical evaluation failed to find evidence of serious disease patient's preoccupation persisted despite adequate reassurance preoccupation lasted for 6 months or more preoccupation caused marked distress or impairment in functioning voiced concerns that are unrealistic but not beyond reason; for example, the patient may believe headaches indicate a brain tumor ( if its beyond reason then you will have to call it a “delusion”) failure of the patient to be reassured after appropriate work-ups causing him or her to seek further tests and consultations hypochondriasis hypochondriasis associations: seen in 50% of all patients with panic disorder major depres...

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