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The first step in getting correct treatment is to get a correct diagnosis. Differential diagnosis list for Hypochondriasis may include:
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The goal of treatment is to help the patient continue to lead a productive life despite distressing symptoms and fears. After medical evaluation is complete, the patient should be told clearly that he doesn’t have a serious disease. Continued medical follow-up, however, will help monitor his symptoms. Providing a diagnosis won’t make hypochondriasis disappear, but it may ease the patient’s anxiety.
Regular outpatient follow-up can help the patient deal with his symptoms and is necessary to detect organic illness. (Up to 30% of these patients develop an organic disease.) Because the patient can be demanding and irritating, consistent follow-up may be difficult.
Most patients don’t acknowledge any psychological influence on their symptoms and resist psychiatric treatment.
Source: Professional Guide to Diseases (Eighth Edition), 2005
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