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somatic:dsm-iv:hypochondriasis [2020/04/25 13:47]
somatic:dsm-iv:hypochondriasis [2020/04/30 22:17]
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-====== Hypochondriasis ====== 
-===== Primer ===== 
-<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 It has been replaced by [[somatic:​dsm-5:​illness-anxiety]] and [[somatic:​dsm-5:​somatic-symptom]]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. ​ 
-<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 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. ​