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Hypokondri

Sist revidert:
Sist revidert av:
Definisjon:
Overdreven helseangst eller sykdomsangst med vedvarende opptatthet av muligheten for å ha en eller flere alvorlige og fremadskridende somatiske lidelser
Forekomst:
I befolkningsstudier er forekomsten av hypokondri fra 0,7 til 3,4 %. I allmennpraksis er forekomsten vanligivs høyere
Symptomer:
Angstsymptomer som hjertebank, svimmelhet, kvalme og tretthet. Symptomene påvirkes av hvilken sykdom pasienten er opptatt av
Funn:
Kliniske funn er normale, med mindre pasienten har utviklet sin hypokondri sekundært til en kjent somatisk lidelse, f.eks. kreft, hvor legen mener det er god prognose, men pasienten likevel har en overdreven frykt for tilbakefall
Diagnostikk:
Man kan bruke et internasjonalt anerkjent selvutfyllingsskjema, f.eks. Whiteley Index. Ingen ytterligere undersøkelser har diagnostisk verdi
Behandling:
Behandlingen er samtaleterapi, medikamentell behandling (sjelden) eller en kombinasjon av disse
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  • Ingvard Wilhelmsen, spesialist i psykiatri og fordøyelsessykdommer, professor emeritus ved Universitetet i Bergen og driver Hypokonderklinikken ved Med. pol.kl Haraldsplass Diakonale Sykehus
  • Tor Andre Johannessen, lege og redaktør NEL (tilpasning til NEL)