Psychological Treatment of Health Anxiety and Hypochondriasis 1st Edition by Jonathan Abramowitz, Autumn Braddock 1616763473 9781616763473

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ISBN 10: 1616763473 

ISBN 13: 9781616763473

Author:  Jonathan S. Abramowitz, Autumn E. Braddock 

Between 25% and 50% of visits to primary care clinics are for somatic complaints with no identifiable organic pathology. While most people are reassured when told they are not ill, a certain percentage is convinced the doctor has missed something serious. For centuries, hypochondriasis and persistent somatic complaints have baffled physicians and mental health professionals alike. Recent decades, however, have seen advances in the understanding and treatment of this problem when it is considered a form of “health anxiety.” 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. They also offer a step-by-step guide to assessment, conceptualization, and psychological treatment that is derived from this model and integrates strategies for psychoeducation, cognitive therapy, behavioral therapy (exposure and response prevention), and dealing with resistance to treatment. The book is packed with illustrative clinical examples and therapist-patient dialogues. Sample forms and handouts are also provided. This volume, which also addresses motivational problems and other common obstacles in treating individuals with health anxiety, is an essential resource for 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.

Psychological Treatment of Health Anxiety and Hypochondriasis 1st Table of contents:

1. The Clinical Picture: Health Anxiety in Their Own Words
2. Background
3. The Physician’s Perspective
4. The Psychologist’s Perspective
5. The Nature of Health Anxiety
6. Defining Health Anxiety
7. Essential Features of Health Anxiety: Form and Function
8. Clinical Conditions Characterized by Health Anxiety
9. Associated Features of Health Anxiety
10. Causes of Health Anxiety: Nature, Notion, and Nurture
11. Somatosensory Amplification
12. Genetics and Heritability of Health Anxiety
13. A Biopsychosocial Model of the Etiology of Health Anxiety
14. Nature: Our “Noisy Bodies”
15. Notions: Beliefs and Interpretations that Lead to Health Anxiety
16. Nurture: The Origin of Dysfunctional Health Beliefs
17. Implications of the Biopsychosocial Model
18. The Persistence of Health Anxiety
19. Maintenance Factors
20. Treatment Implications of the Biopsychosocial Model
21. Treating Health Anxiety: Overview and Evidence
22. Psychological Treatments
23. Pharmacologic Treatments
24. The Treatment Program in Part 2 of this Book
25. Initial Assessment and Diagnosis
26. Developing a Therapeutic Relationship
27. Importance of Ongoing Assessment
28. Aims of Assessment
29. Prior to the Clinical Interview
30. The Clinical Interview
31. Structured Diagnostic Interviews
32. Collateral and Release of Information
33. Measuring Symptom Severity
34. Providing Feedback to the Patient
35. Referrals
36. Cultural Issues in Assessment
37. Obstacles in Assessment
38. Enhancing Motivation and Communication
39. General Communication Strategies
40. Discussing the Biopsychosocial Model
41. Providing a Rationale for Psychological Treatment
42. Functional Assessment
43. Overview of Functional Assessment
44. Review of Recent Episodes
45. Historical Factors Potentially Giving Rise to Dysfunctional Beliefs
46. Identifying Triggers
47. Identifying Dysfunctional Attitudes, Beliefs, and Misinterpretations
48. Identifying Maladaptive Behaviors
49. Self-Monitoring
50. Practical Issues
51. Case Formulation and Treatment Planning
52. Overview of Case Formulation
53. Biopsychosocial Case Formulation
54. Components of Case Formulation
55. Treatment Planning
56. Psychoeducation
57. Gauging The Patient’s Perspective
58. Module 1: Threatening Thinking
59. Module 2: The Fight-or-Flight Response
60. Module 3: Safety Behavior
61. Module 4: Body Noise and Body Vigilance
62. Providing the Rationale for Treatment
63. Using Psychoeducation During Treatment
64. Cognitive Therapy
65. Stylistic Issues
66. Identifying Cognitive Errors
67. General Strategies for Correcting Cognitive Errors
68. Applying Cognitive Strategies to Particular Thinking Errors
69. When to Use Cognitive Techniques
70. Challenges and Obstacles
71. Exposure Therapy and Response Prevention
72. Is Exposure a Cognitive, Behavioral, or Cognitive-Behavioral Treatment?
73. Introducing Exposure Therapy to the Patient
74. Situational Exposure
75. Imaginal Exposure
76. Interoceptive Exposure
77. Stylistic Considerations During Exposure Sessions
78. Response Prevention
79. Employing a Support Person
80. Integrating Cognitive Therapy
81. Programmed and Lifestyle Exposure: Encouraging Independence
82. Overcoming Common Obstacles and Maintaining Treatment Gains
83. Overcoming Common Obstacles
84. After Treatment Ends
85. Maintaining Improvement
86. Some Concluding Thoughts

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Tags: Psychological Treatment, Health Anxiety, Hypochondriasis, Jonathan Abramowitz, Autumn Braddock