Hypochondriac is when a person is overly feel the body is not well functioning - over-concern, including morbid attention to the details of the body function ( so detail) and exaggeration of any symptoms of illness no matter how insignificant it is.
I already mentioned about Hypochondriac in the previous entry on MMPI and though it may look trivial, but sometimes its difficult to convince the person that he/she is fine. Because of his/her preoccupation with fear of illness, they sometimes read too much about the illness and obsessed about it. Letih ooooo..... dan mereka ni selalu datang with fakta... and overly sehingga jadi self-centered... cite sikit tentang sesuatu perkara, dia pun citer tentang penyakit tu ada pada diri dia.... and ended up kita yang perlu bersimpati dengan mereka...
Sometimes, orang yang begini, experience persistent fear of having a serious illness despite medical reassurance until they misinterpretation of symptoms even if the symptoms may be vague or specific. Puncanya? Could be childhood experience... lack of attention and have to go through learning process alone ... and that later will develop sense of knowing. The self taught concept make them alert about their own growing.. positively OR negatively.
So apa kita buat? As psychologist, listening is the best way (memula lah) then you have to counter the so called irrational beliefs (and this is the difficult part since they may know a lot more than the psychologist... confrontation technique may be used but... meletih kan... at least for me lah) ... pastu untuk dispute the thinking... arghhhh not an easy task...
Dalam DSM-IV, Criteria hypochondriasis adalah seperti:
1. Preoccupation with fears of having, or the idea that one has, a serious disease based on the person's misinterpretation of bodily symptoms
2. The preoccupation persists despite appropriate medical evaluation and reassurance
3. The belief is not of delusional intensity (as in Delusional Disorder, Somatic Type) and is not restricted to a circumscribed concern about appearance (as in Body Dysmorphic Disorder)
4. The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning
5. The duration of the disturbance is at least 6 months
6. The preoccupation is not better accounted for by Generalized Anxiety Disorder, Obsessive-Compulsive Disorder, Panic Disorder, a Major Depressive Episode, Separation Anxiety, or another Somatoform Disorder
Treatment:
Since YMRK belajar psychology, tentu laa psychotherapy helps a lot in dealing with clients with hypochondriac...
1. CBT techniques helps too (dah ada dalam entry awal dalam blog ni juga). I think cube selak selah tahun 2009/2008 punya N3.
2. Dalam jurnal, ada kata psychopharmacology membantu...ubat seperti fluoxetine, clomipramine, fluvoxamine, dan imipramine sering diberi oleh psikiatris. Yang ni short cut lah.... mmg berkesan... jgn risau tak akan ada 'keterbergantungan' pada ubat sbb mengambilnya dalam masa tertentu je.. bila dah rasional.....boleh continue dgn psikoterapi..
3. Last sekali..... eksasais.... sbb basically bersenam akan menyihatkan badan so actually mereka akan rasa selesa dengan kesihatan sendiri..
Sedang bercadang cadang untuk buat buku tentang hypochondriac ni... tajuk mungkin cam ni
1. " LIVING WITH HYPOCHONDRIAC" - Panduan pada ibubapa, pasangan, adik beradik, kawan2, psikologis, bagaimana untuk mengendalikan pesakit ni.... amacam??? ok tak??
2. " HYPOCHONDRIAC NEXT DOOR " - sama je its a panduan... cuma tajuk je lain...
3. Novel - berkaitan dengan pesakit nih... tapi YMRK tak kreatif laa sgt nak buat novel... tapi macam bes kan? sbb kan kat Mesia ni.. kalau novel laku oooo boleh buat duit.... (macam kawan YMRK laaaaa) .. buku2 ilmiah nih.. kureng sikit...
So??? cemana??? YMRK ada 3 buku lagi tertangguh ni nak siap kan... dah bercita cita nak buat yang lain.. perghhhhh........ sedar sedar laa diri sikit YMRK. .....
