Diagnostic and treatment interventions for hypochondriasis in the neurology setting

Donald M Hilty, James A. Bourgeois, Celia H. Chang

Research output: Contribution to journalArticle

Abstract

Many patients who present to neurology settings with somatic complaints have underlying fear of illness, anxiety, or depression. Hypochondriasis, which is one of the somatoform disorders, contributes to high use of services and frustration on the part of clinicians, because diagnostic and treatment interventions often fail. The challenges for clinicians include how to distinguish true somatic symptoms from those associated with fear or other psychiatric symptoms. Our goal is to provide the clinician with an integrated approach for the triage, assessment (history, screening tools, examination, and diagnostic tests), and treatment of these challenging patients. Recommendations are made regarding psychiatric consultation and comanagement between fields for complex patients.

Original languageEnglish (US)
Pages (from-to)401-409
Number of pages9
JournalCurrent Treatment Options in Neurology
Volume8
Issue number5
DOIs
StatePublished - Sep 2006

ASJC Scopus subject areas

  • Clinical Neurology

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