Hypochondria: The Worried Well
Abstract
Approximately 13% of physician visits are for medically unexplained physical symptoms (MUPS), and up to 25% of patients report MUPS during visits to the doctor. Most of these patients' symptoms abate. But approximately 5% of patients are convinced they have a serious disease, although no problem can be diagnosed; these individuals are considered to be individuals with hypochondria. Estimates indicate they consume at least 10% of health care dollars and frustrate health care professionals. Treatment is possible, but paradoxical in nature. Clinicians must accept that the patient's concerns are real, and respect the patient's psychological defenses.
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Anxiety disorders can be highly debilitating from even subclinical symptomatology.
“These disorders can start early in life [3], persist long after onset [4], and be highly debilitating from even subclinical symptomatology [5,6].”
From Internet-Delivered Acceptance and Commitment Therapy for Anxiety Treatment: Systematic Review. (2019) · cites this paper as [6]
These findings hold promise for delivering unguided iACT interventions in the form of self-help or stepped care to the worried well to procure rapid anxiety relief.
“These findings hold promise for delivering unguided iACT interventions in the form of self-help, or stepped care, to the “worried well” to procure rapid anxiety relief [6].”
From Internet-Delivered Acceptance and Commitment Therapy for Anxiety Treatment: Systematic Review. (2019) · cites this paper as [6]
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References 24 · Cited by 9
- Authors
- Wick, J. Y., & Zanni, G. R.
- Affiliations
- National Institutes of Health (US)
- Venue
- The Consultant Pharmacist
- Published
- 2008-03-01
- Volume
- 23
- Issue
- 3
- Pages
- 192-208
- ISSN
- 0888-5109 (ISSN-L)
- OpenAlex
- W2314206684
- Cited by
- 9
- References
- 24
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 2 · 2021: 1 · 2018: 1 · 2016: 1 · 2015: 1
- FWCI
- 0.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Consultant Pharmacist (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Health Sciences › Medicine › Psychiatry and Mental health › Medicine, History, and Philosophy
- Keywords
- health anxiety, medically unexplained physical symptoms, somatic symptom disorder, patient-clinician relationship, defense mechanisms, health care utilization
- MeSH terms
- Aging, Fear, Humans, Hypochondriasis
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