Hypochondriasis: treatment options for a diagnostic quagmire.

CONCLUSIONS: The removal of hypochondriasis from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition and its replacement with two new diagnostic entities have been controversial. It appears that the Eleventh Revision of the International Classification of Diseases will take a more cautious approach and emphasise the links between hypochondriasis, obsessive-compulsive disorder and other anxiety disorders. The cornerstone of any treatment approach to hypochondriasis is establishing a good therapeutic relationship with the patient. Psychological treatments, especially cognitive-behavioural therapy, have been more useful than pharmacotherapy, but there is much room for improving treatment outcomes. PMID: 26019287 [PubMed - as supplied by publisher]
Source: Australasian Psychiatry - Category: Psychiatry Authors: Tags: Australas Psychiatry Source Type: research

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Publication date: Available online 28 August 2019Source: Journal of Anxiety DisordersAuthor(s): Tamara Leeuwerik, Kate Cavanagh, Clara StraussAbstractWhilst Cognitive Behavioural Therapy (CBT) is the treatment of choice for obsessive-compulsive disorder (OCD), around half of the participants do not experience remission following treatment. As yet, there is no comprehensive systematic review of the extent to which patient non-adherence presents a challenge to the overall benefit of CBT for OCD. The aim of this systematic review and meta-analysis was to identify the magnitude, moderators and reasons for poor patient adherenc...
Source: Journal of Anxiety Disorders - Category: Psychiatry Source Type: research
CONCLUSION: There is limited evidence from randomised controlled trials which supports claims that computer- or Internet-delivered cognitive-behavioural therapy for anxiety disorders is not inferior to in-person delivery. Randomised controlled trials properly designed to test non-inferiority are needed before conclusions about the relative benefits of in-person and Internet- and computer-delivered cognitive-behavioural therapy can be made. PROSPERO: CRD420180961655-6. PMID: 31339342 [PubMed - as supplied by publisher]
Source: The Australian and New Zealand Journal of Psychiatry - Category: Psychiatry Authors: Tags: Aust N Z J Psychiatry Source Type: research
ConclusionReassurance seeking appears to be a common factor across anxiety disorders though the themes of the reassurance may differ. Further, reduction in excessive reassurance seeking may be an important component in treatment outcome.
Source: Journal of Anxiety Disorders - Category: Psychiatry Source Type: research
This article describes the use of a case formulation approach, integrating evidence-based treatment in the context of individual clinical traits. It focuses on the supplementation of cognitive behavioural therapy (CBT) with eye movement desensitization and reprocessing (EMDR) in the treatment of a young person, presenting with an initial diagnosis of obsessive-compulsive disorder (OCD). A case formulation suggested the possibility of a differential diagnosis of Adjustment Disorder, indicating the usefulness of the addition of EMDR sessions to process memories of severe bullying. Previous studies promote the idea of using E...
Source: Journal of Child and Adolescent Trauma - Category: Child Development Source Type: research
ConclusionsGuided ICBT for perfectionism improves associated psychopathology and transdiagnostic processes. ClinicalTrials.gov registration no. NCT02756871.
Source: Journal of Behavior Therapy and Experimental Psychiatry - Category: Psychiatry Source Type: research
AbstractDigital interventions for anxiety disorders have been well-researched over the past two decades. However, reviews to date have focused on internet-based cognitive behavioural therapy (iCBT), whereas other psychological interventions have received less attention. The aim of this review was therefore to evaluate the effectiveness of digitally delivered psychological therapies (CBT, Attention Bias Modification, Exposure Therapy, Applied Relaxation, Bibliotherapy, Psychodynamic Therapy, Mindfulness, Behavioural Stress Management, Counselling) compared with control conditions and/or other psychological interventions for...
Source: Psychiatric Quarterly - Category: Psychiatry Source Type: research
Another version of this new video-based smartphone intervention involved participants watching their own earlier hand washing By Emma Young Almost half of people with Obsessive Compulsive Disorder (OCD) have extreme fears about touching something they feel is “contaminated”. This can mean that after touching a doorknob, say, they then feel compelled to scrub their hands, in some cases even until they bleed. Conventional treatments, which often involve a combination of a prescription drug (typically an “SSRI”, such as Prozac) plus cognitive behavioural therapy (CBT), help only about 60 per cent of pe...
Source: BPS RESEARCH DIGEST - Category: Psychiatry & Psychology Authors: Tags: Mental health Source Type: blogs
Karen Morley blogs about her experience of seeking help for her Obsessive-Compulsive Disorder (OCD) and how finding and using Cochrane evidence was a turning point. This blog post was originally published onEvidently Cochrane.Without knowing what it was, I had experienced episodes of Obsessive-Compulsive Disorder (OCD) since I was an adolescent, usually when I was particularly stressed. But it was when I was caring full time for my mother, who had multiple conditions including dementia, that I had an unusually distressing episode of contamination-related OCD. When I took to the internet I was amazed to discover that the ob...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news
There’s misperception among some people today that psychotherapy isn’t effective for serious mental illness and therefore can’t be used to treat it. A person might say, “Well, I have severe depression and have tried therapy on multiple occasions, with little effect.” Lived experience is an important thing to take into consideration when choosing a treatment option. However, I believe it’s equally important to examine the research too, to see what science has to say to such questions. Can psychotherapy be used to treat serious mental illness, including clinical depression or obsessive-com...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: General Medications Mental Health and Wellness Psychotherapy Research Treatment efficacy of psychotherapy OCD treatment psychotherapy efficacy therapy for depression therapy for OCD Treatment For Depression Source Type: blogs
ers P Abstract BACKGROUND: It is not clear whether relaxation therapies are more or less effective than cognitive and behavioural therapies in the treatment of anxiety. The aims of the present study were to examine the effects of relaxation techniques compared to cognitive and behavioural therapies in reducing anxiety symptoms, and whether they have comparable efficacy across disorders. METHOD: We conducted a meta-analysis of 50 studies (2801 patients) comparing relaxation training with cognitive and behavioural treatments of anxiety. RESULTS: The overall effect size (ES) across all anxiety outcomes, wit...
Source: Psychological Medicine - Category: Psychiatry Authors: Tags: Psychol Med Source Type: research
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