RESUMEN
Between 5% and 9% of primary care patients exhibit hypochondriacal symptoms. Hypochondriasis may be primary or secondary to panic disorder or depression. Despite negative diagnostic findings and clinician reassurance, hypochondriacal patients manifest disease conviction, disease phobia, or both. Primary care providers, in collaboration with mental health care providers, can provide optimal treatment for patients with hypochondriasis. The use of various intervention phases and selective serotonergic reuptake inhibitors provide the most favorable patient outcomes.
Asunto(s)
Hipocondriasis/diagnóstico , Atención Primaria de Salud , Terapia Cognitivo-Conductual/métodos , Diagnóstico Diferencial , Humanos , Hipocondriasis/psicología , Hipocondriasis/terapia , Trastornos Mentales/complicaciones , Trastornos Mentales/diagnóstico , Educación del Paciente como Asunto , Teoría Psicológica , Inhibidores Selectivos de la Recaptación de Serotonina/uso terapéuticoRESUMEN
1. Trichotillomania is characterized by recurrent pulling of one's hair, resulting in significant hair loss. 2. Trichotillomania involves many hours each day of pulling hair or thinking about pulling hair. 3. Treatment includes five phases: accurate assessment and diagnosis, client education, self-monitoring, self-management, and self-maintenance.