ÜDS-Sağlık 2002-2 Soru=66

The passage suggests that a patient with hypochondriasis----.

The treatment of hypochondriasis has traditionally
been difficult. Where it is secondary to another
condition it usually resolves with treatment of the
primary disorder. For example, hypochondriasis,
which is secondary to depression, will usually
resolve when the depression is successfully
treated. Recognition and early diagnosis are
important. Reassurance, combined with a serious
appraisal of symptoms and an explanation of
psychological factors may then be effective. It is not
enough simply to tell the patient that there is
nothing wrong. It is important to acknowledge the
patient's distress and provide an alternative model,
introducing psychological factors. A dismissive
attitude that "it is all in your head" is
counterproductive. Management regimes based on
regular brief appointments with one key doctor and
avoiding admission to hospital are useful. They
have been found greatly to improve physical
functioning and cut costs on investigations and
hospital admissions by one third.