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F45.2 Hypochondriacal Disorder Therapy and Prognosis

The illness is usually long-standing, with episodes lasting months or years. Recurrences occur frequently after psychosocial distress.

Higher socio-economic status, presence of other treatable condition, anxiety and depression, an acute onset, absence of personality disorder or comorbid organic disease predict better outcome.

No evidence-based treatment has been described.

Patients strongly refuse the mental health care professionals and remain in primary health care.

Similar management and group therapy strategy as in somatization disorder may be useful.

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