Claiming to have unverifiable disorders, or a disorder persisting for an implausible length of time.Dramatic response and preoccupation with minor injuries.Exaggeration of the impact of actual disorders.Frequent, dramatic statements regarding one’s health.Other components of the clinical presentation of IAD can include: Care-avoidant type: The patients will have anxiety about presenting themselves for diagnosis and avoid medical care (American Psychiatric Association, 2013).Care-seeking type: The patient will frequently seek medical care, presenting with health concerns and complaints, and undergoing diagnostic procedures.
The clinician can add specifiers to the diagnosis: Symptoms of Illness Anxiety DisorderĪccording to the DSM-5, the symptoms of IAD include:ġ) Preoccupation with the idea that one has or will get a serious illness.Ģ) Lack of somatic symptoms, or mild somatic symptoms, such as diaphoresis or slight tachycardia.ģ) If there is a verifiable medical condition present, e.g., a benign cyst, or the patient is in a high –risk category for developing a medical condition, e.g., heart disease, but there are no current indicators of heart disease- the patient’s anxiety or concern is out of proportion to the objective reality.Ĥ) The patient is hyper-vigilant about their health, and is prone to feeling distressed about their health, changes in their health, or ambiguous symptoms.ĥ) The patient will frequently monitor themselves for sign of illness, such as checking their blood pressure or temperature several times a day.Ħ) The patient will avoid medical care or evaluation due to anxiety about what they imagine will be found.ħ) This anxiety and preoccupation will have persisted at least six months, although the source of anxiety may shift- e.g., fear of diabetes will be superseded by fear of cancer.Ĩ) The anxiety and preoccupation with illness is not better accounted for by another mental disorder, including somatic symptom disorder, panic disorder, GAD (Generalized Anxiety Disorder), OCD (Obsessive Compulsive Disorder), or a psychotic episode with somatic delusions. Hypochondria was used to mean illness without a specific cause (1839), depression, or melancholy without a real cause (1660) (Harper, 2014). The etymology of the word Hypochondria is Hypokhondria, or under the cartilage, referring to the ancient Greek belief that the thoracic viscera were the source of melancholy, or sadness and worry. Persons with IAD experience what has been called Health anxiety and Body vigilance (Mayo Foundation for Medical Education and Research, 2014). IAD is a disorder involving excessive concern with one’s health in the absence of objective, verifiable evidence of a health condition (American Psychiatric Association, 2013).
Dsm 5 anxiety disorders manual#
IAD (Illness Anxiety Disorder) is a DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, fifth edition) formerly known as somatoform disorder, and prior to that, hypochondriasis (American Psychiatric Association, 2013. DSM Category: Somatic Symptom and Related Disorders Introduction
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