๐ Quick Study Guide: Illness Anxiety Disorder (IAD)
- ๐ Definition: Illness Anxiety Disorder (IAD), formerly known as hypochondriasis, is characterized by a persistent preoccupation with having or acquiring a serious illness, despite having few or no somatic (physical) symptoms.
- ๐ง Core Feature: The primary concern is the *idea* of being sick, not the physical symptoms themselves. Individuals experience high levels of anxiety about their health.
- โณ Duration Criterion: The preoccupation must be present for at least 6 months, though the specific feared illness may change over time.
- ๐ฉบ Symptom Presentation: Somatic symptoms, if present, are typically mild and non-distressing, or the individual is preoccupied with an existing medical condition that is not severe or for which their concern is clearly excessive.
- ๐ง Distinction from Somatic Symptom Disorder (SSD): In IAD, the focus is on the *fear of having* an illness, with minimal or no actual physical symptoms. In SSD, the focus is on the *distress caused by actual physical symptoms*.
- ๐จ Behavioral Manifestations: Individuals often engage in excessive health-related behaviors (e.g., repeatedly checking their body for signs of illness, seeking reassurance from doctors or family) OR maladaptive avoidance (e.g., avoiding doctor appointments, hospitals).
- ๐ฉน Treatment Approaches: Cognitive Behavioral Therapy (CBT) is highly effective, helping individuals challenge maladaptive thoughts and behaviors. Other treatments include psychodynamic therapy and, in some cases, medication (e.g., SSRIs) to manage anxiety.
๐ Practice Quiz: Illness Anxiety Disorder
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1. B) A persistent preoccupation with having or acquiring a serious illness despite minimal or no somatic symptoms.
2. C) 6 months
3. B) IAD focuses on the fear of *having* an illness, while SSD focuses on the distress from *actual physical symptoms*.
4. B) Repeatedly checking their body for signs of illness and seeking frequent reassurance.
5. C) Cognitive Behavioral Therapy (CBT).
6. C) Somatic symptoms, if present, are typically mild and non-distressing, or the individual's concern is clearly excessive.
7. C) Hypochondriasis