Advertisement

Mental Health

Preoccupied With Pain: Hypochondria Explained


Medical Reviewer:

Vikram Tarugu, MD

Medically Reviewed On: July 24, 2003

Now doctors understand hypochondriasis much more in terms of the way in which people go about seeking reassurance for physical problems. It's about how frequently people seek care, so you could have somebody with just two complaints for instance, but if they persisted in complaining or seeking reassurance about those problems to the degree that it impaired their functioning.

Is it difficult to diagnose hypochondriasis when symptoms are hard to confirm?
Many people who are diagnosed with hypochondriasis actually do have physical symptoms that are very real and have medical causes, even though, classically speaking, the diagnosis requires that there is no medical cause that explains their complaints.

As an example, headaches are very tricky because physicians still don't know much about the physiology of headaches. So a doctor could easily do a medical work-up and not find a specific physical reason for a person's headaches, but that doesn't make the headaches any less real.

In situations such as this, when a medical diagnosis does not have a clear physiological cause, a diagnosis of hypochondriasis is based on the patient's ability to accept and work with their physical diagnosis, or on their persistent healthcare-seeking behavior.

A different example illustrating this concept would be somebody who is diagnosed with diabetes. Most diabetics cope with the illness pretty well. But a diabetic patient with hypochondriasis may have tremendous difficulty coping. They frequently go to doctors in order to make sure that they aren't having any other complications or to have their insulin adjusted just slightly, even when there is no medical reason to do so. They use the medical system in ways that most people would consider to be excessive.

Is hypochondriasis under-diagnosed?
Most physicians generally feel that hypochondriasis is under-diagnosed. Today’s medical care has an emphasis on acute care, and tends to be symptom focused. For example, if somebody comes in complaining of severe back pain, a typical physician's response would be to order some tests and to give the patient a prescription for the pain. The doctor would only rarely, however, ask more holistic questions like “Are there other life events that could explain why this back pain is bothering you more now than it might at other times?”

Are there any characteristics that hypochondriacs usually share?
It appears that women are more likely than men to have it. Some people have suggested, however, that this is because there is more of an emphasis on reproductive system complaints, which are far more common in women. In addition, women go to physicians more frequently and are more likely to be diagnosed for that reason.

<< Previous Page 2 of 4 Next Page >>

Advertisement
 

Can't find it? Try searching ScienceDaily or the entire web with:

Google
 
Web ScienceDaily.com

Text: small | med | large
Also search ScienceDaily or the web with Google:
ScienceDaily.com
Web
 
 

In Other News ...

... more breaking news at NewsDaily -- updated every 15 minutes

Health & Medicine Mind & Brain Plants & Animals Space & Time Earth & Climate Matter & Energy Computers & Math Fossils & Ruins