Tyrer P, Cooper S, Tyrer H, et al. Even after medical tests show no problems, people with hypochondriasis are still preoccupied with the idea that think theyre seriously sick. 1995 Jan. 30(1):44-8. [QxMD MEDLINE Link]. Henningsen P, ed. Group therapy for somatization disorders in primary care: maintenance of treatment goals of short cognitive-behavioural treatment one-and-a-half-year follow-up. Inquire about the patient's attempts to correct their hearing loss. 36(2):146-57. If a medical condition is identified in the diagnosis of somatoform disorder, then this underlying medical condition is treated. Fiddler M, Jackson J, Kapur N, Wells A, Creed F:. xb```66%a30pYxyC?32JaO. Kellner R, Abbott P, Pathak D, Winslow WW, Umland BE. [QxMD MEDLINE Link]. She also specialized in these areas: ER, Orthopedic Ward and the DR. Illness anxiety disorder may be associated with: Relationship or family problems because excessive worrying can frustrate others. Nursing Diagnosis: Disturbed Thought Process related to aging asevidenced by disorientation to person, place, and time. [QxMD MEDLINE Link]. 2011 May 13. Illness anxiety disorder can affect all ages and genders. 5 z`cF> 0 E6_
Assess the patient's developmental needs. This national network of local crisis centers provides 24/7 free, confidential support to people in suicidal crisis or emotional distress. The United States . Review the patient's medical history to build an alliance and rule out medical disorders. Writing a Nursing Care Plan Step 1: Data Collection or Assessment Step 2: Data Analysis and Organization Step 3: Formulating Your Nursing Diagnoses Step 4: Setting Priorities Step 5: Establishing Client Goals and Desired Outcomes Short-Term and Long-Term Goals Components of Goals and Desired Outcomes Step 6: Selecting Nursing Interventions If you log out, you will be required to enter your username and password the next time you visit. 1996 Jan. 34(1):23-31. 0000042729 00000 n
((TigerConnect, How to Develop a Nursing Care Plan for Your Hospital: Despite the overall general objective, nursing care plans written by students are not the same as those created by. Sometimes, when they develop a real medical illness, they wont get proper care and effective treatment because of their search of confirmation to their believed condition. Cochrane Database of Systematic Reviews 2007, Issue 4. Barsky AJ, Klerman GL. As with the other somatoform disorders, inpatient psychiatric hospitalization for the somatoform disorder itself is rarely necessary. 1983 Feb. 67(2):69-79. Vera., Nursing Care Plans (NCP): Ultimate Guide and Database, July 5, 2021: https://nurseslabs.com/nursing-care-plans/)), For example, in the interventions section, a student would write: vital signs recorded every four hours: blood pressure, heart rate, three- or five-lead electrocardiograms, functional oxygen saturation, respiratory rate, and skin temperature, while an experienced registered nurse might just write Q4 vital signs.. Psychosomatics. Debra Kahn, MD Associate Clinical Professor, Director of Psychosomatic Medicine Service, Director of Psychosomatic Fellowship, Director of Transplant Psychiatry, Department of Psychiatry and Behavioral Sciences, University of California, Davis, School of Medicine [QxMD MEDLINE Link]. These individuals may think of sweating or a skin mark as a sign of serious and deadly disease. Communicating well and building trust with care providers can help improve visits and therefore maximize the treatment they can offer. olde Hartman TC, Borghuis MS, Lucassen PL, van de Laar FA, Speckens AE, van Weel C. Medically unexplained symptoms, somatisation disorder and hypochondriasis: course and prognosis. Healthcare providers now use the term illness anxiety disorder. The American Psychiatric Association published the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) criteria for the diagnosis of somatoform disorder. Step 3: Plan Patient Goals and Desired Outcomes. Fax: (904) 826-0085
Nursing care plans help define nursing guidelines and some treatment guidelines (as ordered) for a specific patient. Psychosom Med. St. Louis, MO: Elsevier. But you will continue to receive regular care from your provider. When is hypochondriasis not hypochondriasis? 140(3):273-83. 62(1):55-8. Illness anxiety disorder (hypochondria) is extremely rare. Because the intensive search for illness cannot be found, they tend to get frustrated and angry. Vera., Nursing Care Plans (NCP): Ultimate Guide and Database, July 5, 2021: https://nurseslabs.com/nursing-care-plans/)) ((Medical Dictionary for the Health Professions and Nursing, Farlex, nursing care plan, 2012: https://medical-dictionary.thefreedictionary.com/nursing+care+plan)) ((Health Navigator, Care planning, April 6, 2021: https://www.healthnavigator.org.nz/clinicians/c/care-planning/)) ((Tammy J. Toney-Butler and Jennifer M. Thayer, Nursing Process, StatsPearls, July 10, 2020: https://www.ncbi.nlm.nih.gov/books/NBK499937/)). After the diagnosis is the planning stage. 1989. Nurses can gather data about the patients vital signs, physical complaints, visible body conditions, medical history, and current neurological functioning. Key results of professionalism include better overall care, improved team communication, and a more positive work environment. Talk with your doctor about medication options and the possible side effects and risks. Weck F, Neng JM. Their fears are very real to them. 1996 Jan-Feb. 37(1):48-56. J Clin Psychiatry. The client will verbally express emotional feelings. McManus F, Surawy C, Muse K, Vazquez-Montes M, Williams JM. Group psychotherapy of somatizing patients. St. Louis, MO: Elsevier. 0000107836 00000 n
Harrington P. Obsessive compulsive disorder with associated hypochondriasis. However, there may or may not be any medical explanation to the symptoms they are undergoing. The following are seven (7) nursing care plans (NCP) and nursing diagnoses (NDx) for patients with anxiety and panic disorders: Anxiety Fear Ineffective Coping Powerlessness Social Isolation Self-Care Deficit Deficient Knowledge 1. Symptoms and social adjustment in Jewish depressives. [QxMD MEDLINE Link]. Kellner R. Psychotherapeutic strategies in hypochondriasis: a clinical study. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. Thats why its important that you choose the right program for your needsone that will help you develop communication and critical thinking skills, as well as professionalism, to be ready for the day-to-day nursing life. Assessment and management of patients referred for a psychiatric opinion. David Bienenfeld, MD is a member of the following medical societies: American Medical Association, American Psychiatric Association, Association for Academic PsychiatryDisclosure: Nothing to disclose. ((TigerConnect, How to Develop a Nursing Care Plan for Your Hospital: https://tigerconnect.com/blog/how-to-develop-a-nursing-care-plan-for-your-hospital/)), Care plans also need to be easy to share with the relevant stakeholderspatients, doctors, other members of the nursing team, insurance companies, etc. 0000001756 00000 n
[QxMD MEDLINE Link]. Nursing Assessment and Rationales. Somatic Symptom Disorder and Illness Anxiety Disorder. 11 Geriatric Nursing Care Plans (Older Adult) Learn about the essential components of geriatric nursing care plans, including the importance of personalized care, addressing the specific needs of the elderly, and ensuring their comfort and well-being. The Neurological Institute is a leader in treating and researching the most complex neurological disorders and advancing innovations in neurology. J Clin Psychiatry. 2009 May. Treatment goals focus on improving quality of life by minimizing symptoms. The first step of writing a care plan requires critical thinking skills and data collection. 0000110398 00000 n
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Greeven A, van Balkom AJ, Visser S, et al. To confirm the diagnosis of hypochondriasis, the psychiatrist may need to conduct a personality assessment. Ravindran AV, da Silva TL, Ravindran LN, Richter MA, Rector NA. As a student or recent graduate, including all the information in your care plan will help you solidify your training. This can improve social interactions and can have an effect on mood as well. Lifestyle changes. ((Chiung-Yu Shih et al, The association of sociodemographic factors and needs of haemodialysis patients according to Maslows hierarchy of needs, Journal of Clinical Nursing, July 30, 2018: https://pubmed.ncbi.nlm.nih.gov/29777561/)). B) In somatic symptom disorder, clients are not consciously aware that needs are being met through physical complaints. Chapter 11. Aerobic, Breathing Exercises Tied to Faster Concussion Recovery, Prepare for Endometriosis Excision Surgery With a Multidisciplinary Approach, TMS Tied to 'Marked' Antidepressant, Anxiolytic Effects in Anxious Depression. 2002 Nov-Dec. 71(6):318-25. [75], Cognitive and exposure therapy also seems promising for illness anxiety disorder. A nursing care plan is not a prescription. Provide comfort measures for the patient in terms of temperature of the room, positioning of the bed, provision of pillows. The advanced, Nurse practitioners and physician assistants are advanced healthcare practitioners with similar responsibilities, such as diagnosing illnesses and prescribing medications. American Psychiatric Association. 13(2):127-39. Assessment: 1. Anxiety and Depression Association of America. While all nursing programs teach the basics of writing a care plan, your communication, goal setting, and critical thinking skills will be shaped by the program you attend. <]>>
One difficulty with which physicians struggle is related to countertransference (ie, physicians' own emotional reactions to the patient). December 2008. Predictors of course and outcome in hypochondriasis after cognitive-behavioral treatment. A community-based psychoeducational group approach to hypochondriasis. A randomized clinical trial of mindfulness-based cognitive therapy versus unrestricted services for health anxiety (hypochondriasis). 2001 Jul. 0000111578 00000 n
Medications to treat mood or anxiety disorders, if present, also may help. That Time I Dropped Out of Nursing School, 5 Steps to Writing a (kick ass) Nursing Care Plan, Dear Other Guys, Stop Scamming Nursing Students, The S.O.C.K. A well-written care plan allows nurses to measure the effectiveness of care and to record evidence that the care was given. 336(7652):1070-1. Each can be a single symptom or a collective and may not point to any medical illness. A person with somatoform disorder often seeks medical advice for the symptoms they are experiencing. St. Louis, MO: Elsevier. 0000296546 00000 n
Barsky AJ, Ettner SL, Horsky J, Bates DW. Bursztajn H, Barsky AJ. ((Health Navigator, Care planning, April 6, 2021: https://www.healthnavigator.org.nz/clinicians/c/care-planning/)). The following is a nursing assessment guide for heart failure nursing care plans. 0000003105 00000 n
Based on the diagnosis, youll set goals (Step 3) to resolve the patients problems through nursing implementations (Step 4). ((TigerConnect, How to Develop a Nursing Care Plan for Your Hospital: https://tigerconnect.com/blog/how-to-develop-a-nursing-care-plan-for-your-hospital/)), Finally, you will need to update your care plans often with the latest information. Consider intermediate, short-term goals vs. terminal, long-term goals. 2002 Jul-Aug. 43(4):282-9. These strategies may prevent potentially serious complications, including the effects of unnecessary diagnostic and therapeutic procedures. Buy on Amazon, Silvestri, L. A. Behav Res Ther. JAMA. Dysmorphophobia: body dysmorphic disorder or delusional disorder, somatic subtype?. Nursing Care Plan Components. You will consider the patients overall condition, along with their diagnosis and other relevant information, as you set goals for them to achieve desired and realistic health outcomes for the short and long term. An outstanding resource for students and practicing nurses, the Ninth Edition of Lippincott's Manual of Psychiatric Nursing Care Plans contains 52 nursing care plans that address the most commonly encountered behaviors in psychiatric-mental health nursing. Oversharing your symptoms and health status with others. There are several basic interventions that you need to implement during each shift: pain assessment, changing the resting position, listening, cluster care, preventing falls, and fluid consumption. 2007 Jan. 164(1):91-9. Is Transmission of Anxiety From Parents to Children Sex-Specific? [QxMD MEDLINE Link]. Kellner R. Hypochondriasis and somatization. Diagnosis is based on history, medical complaints, the doctors physical assessment and laboratory tests performed. Some people with illness anxiety disorder may actually have a diagnosed physical illness. [QxMD MEDLINE Link]. Glen L Xiong, MD is a member of the following medical societies: AMDA - The Society for Post-Acute and Long-Term Care Medicine, American College of Physicians, American Psychiatric Association, Central California Psychiatric SocietyDisclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: SafelyYou, Blue Cross Blue Shield, Included Health
book co-editor for: Wolter Kluwer, American Psychiatric Publishing Inc. Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug ReferenceDisclosure: Received salary from Medscape for employment. CNS Drugs. The University of St. Augustine for Health Sciences (USAHS) offers a Master of Science in Nursing degree (MSN), a Doctor of Nursing Practice degree (DNP), and Post-Graduate Nursing Certificates designed for working nurses. Hiller W, Leibbrand R, Rief W, Fichter MM. endstream
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Anna Curran. 310-318. 22(1-2):43-8. J Consult Clin Psychol. Brondino N, Lanati N, Barale F, et al. Thomson A, Page L. Psychotherapies for hypochondriasis. A care plan ensures collaboration among nurses, patients, and other healthcare providers. The symptoms of somatoform disorder are also addressed. Genetic and biological factors. 1999 Aug. 60(8):554. Int J Psychiatry Med. 2016 Jun. 16(1):9-22. However, prospective treatment studies are urgently needed in this area. 1987 Nov 20. Since most of the symptoms are related to mental and psychological health, treatments often include psychotherapy. It helps guide nurses throughout their shift in caring for the patient. J Clin Psychopharmacol. 0000107215 00000 n
The management of atypical non-cardiac chest pain. 108(1):E1. [QxMD MEDLINE Link]. A revisit to Elisabeth Kbler Ross -Nursing Implications on Loss, Post traumatic Stress Disorder Nursing Intervention, Anorexia Nervosa Nursing Considerations, Depression Nursing Interventions & Nine Clinical Symptoms, Burns Nursing Care and Medical Management, Myocardial Infarction (MI) Nursing Care and Medical Management, Meningitis Nursing Care and Medical Management, Urinary Tract Infection Nursing Care Plan, Preoccupation of having a serious illness, Persistent fear despite medical reassurance, Clinical distress or functional impairment. Lidbeck J. [QxMD MEDLINE Link]. 0000004042 00000 n
Can J Psychiatry. 2002. 0000090577 00000 n
: CD006520. Visser S, Bouman TK. J Psychosom Res. Once youve set goals for the patient, its time to implement the actions that will support the patient in achieving these goals. startxref
Acta Psychiatr Scand. 2002 Jul. 2001 Jul. Common limbic and frontal-striatal disturbances in patients with obsessive compulsive disorder, panic disorder and hypochondriasis. Illness anxiety disorder also puts you at risk for: Your healthcare provider may partner with a mental health professional, such as a psychologist or psychiatrist, to help you manage the disorder. [QxMD MEDLINE Link]. Couple reassurance statements of normal findings with statements that that the patient will not be abandoned. 0
Like other somatoform disorders, hypochondriasis is a tough case to treat since the client is totally convinced the symptoms experienced is real and refuses to believe it is just a result of emotional and mental causes. BMC Psychiatry. [76, 77] Mindfulness-based cognitive therapy also appears to be effective when added to usual care. [QxMD MEDLINE Link]. Bouman TK. People with illness anxiety disorder -- also called hypochondria or hypochondriasis -- have an unrealistic fear that they have a serious medical condition or fear that theyre at high risk of becoming ill. [QxMD MEDLINE Link]. Response and Remission After Cognitive and Exposure Therapy for Hypochondriasis. Your provider may make a diagnosis or they may refer you to a behavioral health specialist, such as a psychologist or psychiatrist. It can be easily described as the conversion of emotional state into physical symptoms or somatization. Soc Psychiatry Psychiatr Epidemiol. Janca A, Isaac M, Bennett LA, Tacchini G. Somatoform disorders in different cultures--a mail questionnaire survey. You will then adjust the care plan based on this information. It leads to persistent contraction and malabsorption of the colon, producing frequent bowel movements. Establish one primary care physician as the patient's main physician. Smith RC. J Clin Psychiatry. 0000107422 00000 n
54(5):331-43. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. 19(4):327-39. Focus on care of the patient with illness anxiety disorder, not exclusively on a cure for the disorder. Bass C, ed. , along with important values like accountability, respect, and integrity. CMAJ. Hypochondriasis occurs roughly in 4% to 9% of the people seen in medical practice. They may misinterpret typical body functions as signs of illness. In clinical settings, both the availability of CBT and treatment adherence of patients with illness anxiety disorder to psychotherapy in general are major barriers to successful outcomes. Learned behavior. Psychol Med. [QxMD MEDLINE Link]. The documentation format will vary according to. But because of illness anxiety disorder, they may feel their condition is more severe than it is. Although you will learn communication skills in an undergraduate or. Why this difference? However, it is believed that the following risk factors contribute to how a person responds to symptoms and how they are perceived: The symptoms experienced that a person with somatoform disorder is often more severe than usual. Covering the most common medical-surgical nursing diagnoses and clinical problems, Gulanick & Myers' Nursing Care Plans: Diagnoses, Interventions, and Outcomes, 10th Edition features more than 200 care plans, each reflecting the latest evidence-based guidelines and . Assess the patients vital signs and perform a full body physical exam. James A Bourgeois, MD, OD, MPA Chair, Department of Psychiatry, Baylor Scott and White Health, Central Texas Division; Clinical Professor, Department of Medical Education, Texas A&M University Health Science Center College of Medicine They provide a centralized document of the patient's condition, diagnosis, the nursing team's goals for that patient, and measure of the patient's progress. Different healthcare organizations use different formats for the assessment phase. Last reviewed by a Cleveland Clinic medical professional on 02/02/2021. She received her RN license in 1997. House A. Hypochondriasis and related disorders. Psychosurgery is only recommended for patients with severe and intractable illness anxiety disorder. 1989. !vsv[&$moYg\w*1;a. Salkovskis PM, Rimes KA, Warwick HM, Clark DM. 1989 May. 1992. Toone BK. A nursing care plan has several key components including, Nursing diagnosis; Expected outcome; Nursing interventions and rationales Our degrees are offered online, with optional on-campus immersions. Psychol Med. 2012 Nov-Dec. 53(6):566-74. Childhood antecedents of hypochondriasis. Stefansson JG, Messina JA, Meyerowitz S. Hysterical neurosis, conversion type: clinical and epidemiological considerations. Body dysmorphic disorder: clinical features and drug treatment. Hypochondriasis: A psychosomatic problem in the elderly. The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. AMDA - The Society for Post-Acute and Long-Term Care Medicine, American Association for Technology in Psychiatry, Collaborative Family Healthcare Association, Texas Child Mental Health Care Consortium. Nursing care plans are structured to capture all the important information for the nursing team in one place. ((TigerConnect, How to Develop a Nursing Care Plan for Your Hospital: Finally, you will need to update your care plans often with the latest information. 485(3):148-50. Br J Psychiatry. People with this disorder have a persistent fear that they have a serious or life-threatening illness despite few or no symptoms. An enrollment advisor will reach out to provide information and answer your questions. Peter M Yellowlees, MD, MBBS Professor of Psychiatry, Director of Health Informatics Program, University of California, Davis, School of MedicineDisclosure: Received consulting fee from Medscape for independent contractor. [QxMD MEDLINE Link]. Xiong GL, Bougeois JA, Chang CH, Liu D, Hilty DM. ((Tammy J. Toney-Butler and Jennifer M. Thayer, Nursing Process, StatsPearls, July 10, 2020: : Your goals for the patient must be well-defined and unambiguous. Acta Psychiatr Scand. J Clin Psychopharmacol. 70(3):810-27. 1992 Feb. 49(2):101-8. Post-Professional Doctor of Occupational Therapy (PPOTD), Master of Science in Physician Assistant Studies (MSPAS), Orthopaedic Manual Physical Therapy Fellowship (OMPT), Non-Degree Physical Therapy Online Courses, Master of Science in Speech-Language Pathology (MS-SLP), How to Write a Care Plan: A Guide for Nurses, https://nurseslabs.com/nursing-care-plans/, https://medical-dictionary.thefreedictionary.com/nursing+care+plan, https://www.healthnavigator.org.nz/clinicians/c/care-planning/, https://www.ncbi.nlm.nih.gov/books/NBK499937/, https://qualitysafety.bmj.com/content/qhc/9/1/6.full.pdf, https://nanda.org/publications-resources/resources/glossary-of-terms/, https://www.simplypsychology.org/maslow.html, https://pubmed.ncbi.nlm.nih.gov/29777561/, https://nurse.org/articles/nursing-care-plan-how-to/, https://tigerconnect.com/blog/how-to-develop-a-nursing-care-plan-for-your-hospital/, https://www.nursco.com/professionalism-nursing-5-tips-nurses/. Due to the enigmatic nature of various physical symptoms, occasionally patients with illness anxiety disorder are admitted to the general medical-surgical hospital for an extensive work-up. To establish baseline and ensure that there is no physical rationale for the patients complaint of pain. At NURSING.com, we believe Black Lives Matter , No Human Is Illegal , Love Is Love , Women`s Rights Are Human Rights , Science Is Real , Water Is Life , Injustice Anywhere Is A Threat To Justice Everywhere . But medical tests cant pinpoint a cause for the physical symptom. Desired Outcome: The patient will verbalize feeling of comfort and reduced perception of pain. Clients diagnosed with this illness misinterpret sensations and functions of the body. Hamann K, Avnstorp C. Delusions of infestation treated by pimozide: a double-blind crossover clinical study. 1983-1984. Avoid seeking advice from multiple doctors or emergency . The symptoms of hypochondriasis are the following: Diagnosing hypochondriasis can be difficult since clients with this disorder are convinced that their symptoms are caused by a medical illness. Your provider can diagnose and treat illness anxiety disorder. If youre considering earning a post-graduate degree in nursing, your main choice will be between a Master of Science in Nursing (MSN) and a Doctor of Nursing Practice (DNP) program. Some people become severely depressed and even suicidal. A symptom of somatoform disorder can indicate a particular condition like cancer. [QxMD MEDLINE Link]. Hypochondriasis. Patients with illness anxiety disorder should eat 3 meals per day to feel as healthy as possible. An excellent tool to introduce students to clinical psychiatric experience, the Manual demonstrates use of the nursing process in . Auscultate apical pulse, assess heart rate. van den Heuvel OA, Mataix-Cols D, Zwitser G, Cath DC, van der Werf YD, Groenewegen HJ, et al. Cognitive-behavioral therapy for hypochondriasis/health anxiety: a meta-analysis of treatment outcome and moderators. The treatment of hypochondriasis: exposure plus response prevention vs cognitive therapy. [QxMD MEDLINE Link]. Psychother Psychosom. Pathophysiology Somatic Symptom Disorder (SSD), previously known as somatoform disorder, is a mental illness that causes unexplained physical symptoms such as pain that are distressing or disrupt the client's normal functioning. 0000116656 00000 n
They interpret normal sensations, body functions and mild symptoms as a sign of a worst illness. Ball RA, Clare AW. Personality disorders in hypochondriasis: prevalence and comparison with two anxiety disorders. Somatization disorder: defining its role in clinical medicine. DSM 5th edition. Pearce MJ, Mayou RA, Klimes I. 1-13. Walker J, Vincent N, Furer P, Cox B, Kjernisted K. Treatment preference in hypochondriasis. Obsession with normal body functions, such as. 0000295948 00000 n
Policy. The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. [QxMD MEDLINE Link]. This website also contains material copyrighted by 3rd parties. The specific illness(es) that they worry about often changes. Medical Economics. Saunders comprehensive review for the NCLEX-RN examination. 1-12. For example, physiological needs (such as food, water, and sleep) are more fundamental to survival than love and belonging, self-esteem, and self-actualization, so they have the priority when it comes to nursing actions. A nursing diagnosis is based on Maslows Hierarchy of Needs pyramid ((Saul McLeod, Maslows Hierarchy of Needs, Simply Psychology, Dec. 29, 2020: https://www.simplypsychology.org/maslow.html)) (which identifies and ranks human needs) and helps prioritize treatments. 0000004588 00000 n
9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, Illness Anxiety Disorder (Hypochondria, Hypochondriasis), (https://www.psychiatry.org/patients-families/somatic-symptom-disorder/what-is-somatic-symptom-disorder), (https://adaa.org/learn-from-us/from-the-experts/blog-posts/consumer/health-anxiety-what-it-and-how-beat-it-updated), (https://www.ncbi.nlm.nih.gov/books/NBK554399/), (https://www.merckmanuals.com/home/mental-health-disorders/somatic-symptom-and-related-disorders/illness-anxiety-disorder), (https://www.nhs.uk/conditions/health-anxiety/), Visitation, mask requirements and COVID-19 information, Diagnostic and Statistical Manual of Mental Disorders (DSM), 5th edition.
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