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Old 03-05-2012
tyagee's Avatar
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Psyche Hypochondriasis Best Treatment

A 19-year-old woman becomes very concerned that a small lump in her left breast is malignant cancer. Workup and biopsy show it to be entirely benign but she remains excessively worried, in spite of reassurance by her physician. Which of the following is the best treatment in this case?
(A) A careful explanation of the benign nature of the physical complaint
(B) Use of benzodiazepine
(C) Skillful physician reassurance and frequent follow-up
(D) Use of placebo medication
(E) Psychotherapy to explore her current life circumstances
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  #2  
Old 03-05-2012
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E ,,,,?
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Old 03-05-2012
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I think is C. Such patient needs physician going over their symptoms and frequent hospital visit and follow up.
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Old 03-05-2012
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i thot psycho therapy ws treatment of choice for somatoform disorders...

but i also agree that repeated followups and then establishing a rapport and revealing to pt her condition is actually hypochondriasis....

if thats wat C means then Benny mst b rite
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Old 03-05-2012
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Correct Answer

ans is E
hypochondriasis by definition does not get better with reassurance.
this is what qbank says
...By definition, reassurance (choice A) and explanations (choice C) are ineffective, and suggesting she have
frequent follow-ups will only reinforce her fear that something is wrong.....

i think continous follow up is required [ as heard in kaplan videos ] so as to avoid patient changing physicians and going for unnecessary investigations.

in kaplan notes , initial therapy written is psychotherapy.
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Old 03-05-2012
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tyagi u r the boss...thanks man
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  #7  
Old 03-11-2012
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well i found out that such pts have tendency to have such thoughts more in conditions of Psychological stress...

so 1st step is Inquire about present stress factors n current life circumstances

next step--- followups...for psychotherapy

hope it helps
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