Psychological Treatment of Health Anxiety and Hypochondriasis
A Biopsychosocial Approach
1st Edition
Published on 25. September 2008
343 pages
978-1-61676-347-3 (ISBN)
Description
In this highly practical and accessible book, Jonathan Abramowitz and Autumn Braddock present a model of health anxiety and hypochondriasis grounded in the most up-to-date clinical science and that incorporates physiological, cognitive, and behavioral processes. This book is an essential resource for practitioners, students, and researchers in behavioral medicine and health psychology, and for anyone working with patients in hospitals, primary care settings, academic medical centers, and freestanding mental health clinics.
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Jonathan S. Abramowitz | Autumn E. Braddock
Psychological Treatment of Health Anxiety and Hypochondriasis
A Biopsychosocial Approach
Book
07/2008
1st Edition
Hogrefe & Huber
€42.95
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Content
- Psychological Treatment of Health Anxiety and Hypochondriasis
- About the Authors
- Table of Contents
- Preface
- The Clinical Picture: Health Anxiety in Their Own Words
- Background
- The Physician's Perspective
- The Psychologist's Perspective
- The Nature of Health Anxiety
- Defining Health Anxiety
- Essential Features of Health Anxiety: Form and Function
- Clinical Conditions Characterized by Health Anxiety
- Associated Features of Health Anxiety
- Causes of Health Anxiety: Nature, Notion, and Nurture
- Somatosensory Amplification
- Genetics and Heritability of Health Anxiety
- A Biopsychosocial Model of the Etiology of Health Anxiety
- Nature: Our "Noisy Bodies"
- Notions: Beliefs and Interpretations that Lead to Health Anxiety
- Nurture: The Origin of Dysfunctional Health Beliefs
- Implications of the Biopsychosocial Model
- The Persistence of Health Anxiety
- Maintenance Factors
- Treatment Implications of the Biopsychosocial Model
- Treating Health Anxiety: Overview and Evidence
- Psychological Treatments
- Pharmacologic Treatments
- The Treatment Program in Part 2 of this Book
- Initial Assessment and Diagnosis
- Developing a Therapeutic Relationship
- Importance of Ongoing Assessment
- Aims of Assessment
- Prior to the Clinical Interview
- The Clinical Interview
- Structured Diagnostic Interviews
- Collateral and Release of Information
- Measuring Symptom Severity
- Providing Feedback to the Patient
- Referrals
- Cultural Issues in Assessment
- Obstacles in Assessment
- Enhancing Motivation and Communication
- General Communication Strategies
- Discussing the Biopsychosocial Model
- Providing a Rationale for Psychological Treatment
- Functional Assessment
- Overview of Functional Assessment
- Review of Recent Episodes
- Historical Factors Potentially Giving Rise to Dysfunctional Beliefs
- Identifying Triggers
- Identifying Dysfunctional Attitudes, Beliefs, and Misinterpretations
- Identifying Maladaptive Behaviors
- Self-Monitoring
- Practical Issues
- Case Formulation and Treatment Planning
- Overview of Case Formulation
- Biopsychosocial Case Formulation
- Components of Case Formulation
- Treatment Planning
- Psychoeducation
- Gauging The Patient's Perspective
- Module 1: Threatening Thinking
- Module 2: The Fight-or-Flight Response
- Module 3: Safety Behavior
- Module 4: Body Noise and Body Vigilance
- Providing the Rationale for Treatment
- Using Psychoeducation During Treatment
- Cognitive Therapy
- Stylistic Issues
- Identifying Cognitive Errors
- General Strategies for Correcting Cognitive Errors
- Applying Cognitive Strategies to Particular Thinking Errors
- When to Use Cognitive Techniques
- Challenges and Obstacles
- Exposure Therapy and Response Prevention
- Is Exposure a Cognitive, Behavioral, or Cognitive-Behavioral Treatment?
- Introducing Exposure Therapy to the Patient
- Situational Exposure
- Imaginal Exposure
- Interoceptive Exposure
- Stylistic Considerations During Exposure Sessions
- Response Prevention
- Employing a Support Person
- Integrating Cognitive Therapy
- Programmed and Lifestyle Exposure: Encouraging Independence
- Overcoming Common Obstacles and Maintaining Treatment Gains
- Overcoming Common Obstacles
- After Treatment Ends
- Maintaining Improvement
- Some Concluding Thoughts
- References
- Appendix
- Handout 7.1. Change Plan Worksheet
- Handout 8.1. Self-Monitoring of Body Symptoms
- Handout 8.2. Daily Monitoring Form
- Handout 8.3. Health Concerns Log
- Handout 10.1. Body Symptom Monitoring Form
- Handout 10.2. The Fight-or-Flight Response
- Handout 10.3. Your Noisy Body
- Handout 11.1. Common Thinking Patterns in Health Anxiety
- Handout 11.2. Thought Challenging Form
- Handout 11.3. Helpful Comments
- Handout 12.1. The 10 Commandments for Successful Exposure
- Yale-Brown Obsessive Compulsive Severity Scale (Y-BOCS) Adapted for Health Anxiety
- Brown Assessment of Beliefs Scale
- Index
