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somatic:dsm-iv:hypochondriasis [on November 8, 2020] (current)
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 +====== Hypochondriasis ======
 +{{INLINETOC}}
 +===== Primer =====
 +**Hypochondriasis** is a mental disorder characterized by preoccupation or fears of having a serious disease based on misinterpretation of bodily symptoms, in the DSM-IV-TR. Approximately 75% of individuals previously diagnosed with hypochondriasis are subsumed under the new diagnosis of [[somatic:​dsm-5:​somatic-symptom|somatic symptom disorder]] in the DSM-5. The remaining 25% of individuals with hypochondriasis have high health anxiety in the absence of somatic symptoms, and fall into the [[somatic:​dsm-5:​illness-anxiety|illness anxiety disorder]] diagnosis.
 +
 +<callout type="​danger"​ title="​Obsolete DSM-IV-TR Diagnosis"​ icon="​true">​This diagnosis no longer exists in the DSM-5. It has been replaced by [[somatic:​dsm-5:​illness-anxiety]] and [[somatic:​dsm-5:​somatic-symptom]]</​callout>​
 +
 +===== Diagnostic Criteria =====
 +<callout type="​question"​ title="​Since I Can't Use Hypochondriasis Anymore... Is it now Illness Anxiety Disorder or Somatic Symptom Disorder?"​ icon="​true">​
 +With the diagnostic change from the DSM-IV to the DSM-5, approximately 75% of individuals previously diagnosed with hypochondriasis are subsumed under the diagnosis of [[somatic:​dsm-5:​somatic-symptom|somatic symptom disorder]]. However, about 25% of individuals with hypochondriasis have high health anxiety in the //absence// of somatic symptoms. In this case, the DSM-5 diagnosis of [[somatic:​dsm-5:​illness-anxiety|illness anxiety disorder]] is used. Illness anxiety disorder can be considered as either a somatic disorder or as an anxiety disorder. ​
 +</​callout>​
 +<WRAP group>
 +<WRAP half column>
 +== Criterion A ==
 +Preoccupation with fears of having, or the idea that one has, a serious disease based on the person'​s misinterpretation of bodily symptoms. ​
 +
 +== Criterion B ==
 +The preoccupation persists despite appropriate medical evaluation and reassurance. ​
 +
 +== Criterion C ==
 +The belief in Criterion A is not of delusional intensity (as in Delusional Disorder, Somatic Type) and is not restricted to a circumscribed concern about appearance (as in Body Dysmorphic Disorder). ​
 +</​WRAP>​
 +<WRAP half column>
 +== Criterion D ==
 +The preoccupation causes clinically significant distress or impairment in social, occupational,​ or other important areas of functioning. ​
 +
 +== Criterion E ==
 +The duration of the disturbance is at least ''​6''​ months. ​
 +
 +== Criterion F ==
 +The preoccupation is not better accounted for by generalized anxiety disorder, obsessive-compulsive Disorder, panic disorder, a major depressive episode, separation anxiety disorder, or another somatoform disorder. ​
 +</​WRAP>​
 +</​WRAP>​