In the recently updated Diagnostic and Statistical Manual of Mental Disorders (DSM-5), the diagnostic concept of hypochondriasis was eliminated and replaced by somatic symptom disorder and illness anxiety disorder. Hypochondriasis and Health Anxiety: A Guide for Clinicians, edited by Vladan Starcevic and Russell Noyes and written by prominent clinicians and researchers in the field, addresses current issues in recognizing, understanding, and treating hypochondriasis. Using a pragmatic approach, it offers a wealth of clinically useful information. The book also provides a critical review of the underlying conceptual and treatment issues, addressing varying perspectives and synthesizing the current research. Specific topics the text covers include: clinical manifestations, diagnostic and conceptual issues, classification, relationships with other disorders, assessment, epidemiology, economic aspects, course, outcome and treatment. Additionally, the book discusses patient-physician relationship in the context of hypochondriasis and health anxiety and presents cognitive, behavioral, interpersonal and psychodynamic models and treatments. The authors also address the neurobiological underpinnings of hypochondriasis and health anxiety and pharmacological treatment approaches. Based on the extensive clinical experience of its authors, there are numerous case illustrations and practical examples of how to assess, understand and manage individuals presenting with disease preoccupations, health anxiety and/or beliefs that they are seriously ill. It approaches its subject from various perspectives and is a work of integration and critical thinking about an area often shrouded in controversy.

Between 25% and 50% of visits to primary care clinics are for somatic complaints with no identifiable organic pathology. While most people are reassured when told they are not ill, a certain percentage is convinced the doctor has missed something serious. For centuries, hypochondriasis and persistent somatic complaints have baffled physicians and mental health professionals alike. Recent decades, however, have seen advances in the understanding and treatment of this problem when it is considered a form of "health anxiety." In this highly practical and accessible book, Jonathan Abramowitz and Autumn Braddock present a model of health anxiety and hypochondriasis grounded in the most up-to-date clinical science and that incorporates physiological, cognitive, and behavioral processes. They also offer a step-by-step guide to assessment, conceptualization, and psychological treatment that is derived from this model and integrates strategies for psychoeducation, cognitive therapy, behavioral therapy (exposure and response prevention), and dealing with resistance to treatment. The book is packed with illustrative clinical examples and therapist-patient dialogues. Sample forms and handouts are also provided. This volume, which also addresses motivational problems and other common obstacles in treating individuals with health anxiety, is an essential resource for students and researchers in behavioral medicine and health psychology, and for anyone working with patients in hospitals, primary care settings, academic medical centers, and freestanding mental health clinics.

Hypochondriasis remains controversial, despite its 2000-year history. Although it is considered a mental disorder, hypochondriasis is often regarded as a defense mechanism, peculiar cognitive/ perceptual style, means of nonverbal communication, response to stress, abnormal illness behavior, personality trait, distinct personality disturbance, and part of other mental disorders. Disagreements about etiology and pathogenesis of hypochondriasis go hand in hand with disagreements about its treatment. this book fills the need for a modern, balanced, in-depth, and integrative overview of hypochondriasis as a mental disorder with diverse manifestations. Written by world experts and from different perspectives, it aims to be a state-of-the-art text, demonstrating how the current concepts of hypochondriasis are linked with its rich history, critically examining diagnostic and nosologic issues and suggesting ways of overcoming the conceptual obstacles, describing current views on the etiology, pathogenesis and psychopathology, presenting main treatment approaches, and providing treatment guidelines. This book is intended for both practicing clinicians and researchers. An important resource for all psychiatrists, primary care physicians, clinical psychologists, and other mental health professionals, it will also be of interest for psychiatry residents, medical students, graduate students in clinical psychology, and lay public.

Grounded in current theory and treatment research, this highly practical book presents a comprehensive framework for assessing and treating health anxiety, including full-blown and milder (subclinical) forms of hypochondriasis. The current state of knowledge about these prevalent and costly problems is reviewed, and assessment methods and empirically supported treatments described. Clear, step-by-step recommendations are provided for engaging patients or clients, implementing carefully planned cognitive and behavioral interventions, and troubleshooting potential pitfalls. Important advances in pharmacotherapy for persons with health anxiety disorders are also discussed. Enhancing the utility of this clinician- and student-friendly resource are numerous case examples and sample dialogues, quick-reference tables and boxed material, and over 20 reproducible handouts and assessment forms.

This title seeks to change the way we think about hypochondria and to use hypochondria to sharpen our thinking about health care. The book's four parts examine hypochondria as a condition of biology; of medicine; of culture; and of narrative.

-- The Women's Review of Books