A 28yo business man came to the sexual clinic. He was worried that he has HIV infection. 3 HIV
tests were done and all the results are negative. After a few months, he comes back again and
claims that he has HIV. What is the dx?
a. Somatization
b. Hypochondriac
c. Mancheusens
d. OCD
e. Schizophrenia
Illness Anxiety Disorder (formerly Hypochondriasis)
• preoccupation with fear of having, or the idea that one has, a serious disease based on a
misinterpretation of one or more bodily signs or symptoms
• evidence does not support diagnosis of a physical disorder
• fear of having a disease despite medical reassurance
• belief is not of delusional intensity (as in delusional disorder, somatic type) as person
acknowledges unrealistic interpretation
• duration is ≥6 mo; onset in 3rd-4th decade of life
• community prevalence 1.1-4.5%; prevalence in general medical practice 4-9%; higher in
psychiatric settings
• role for SSRIs due to anxiety
n.b somatization = production of symptoms
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