scholarly journals A Recommendation for the Management of Illness Anxiety Disorder Patients Abusing the Health Care System

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Mohammad Almalki ◽  
Ibrahim Al-Tawayjri ◽  
Ahmed Al-Anazi ◽  
Sami Mahmoud ◽  
Ahmad Al-Mohrej
Keyword(s):  
Health Care ◽  
Anxiety Disorder ◽  
Health System ◽  
Behavioral Therapy ◽  
Care Center ◽  
Family Doctor ◽  
Health Care Center ◽  
Illness Anxiety Disorder ◽  
Illness Anxiety ◽  
The Right

Introduction. Illness anxiety disorder (IAD) entails a preoccupation with having a serious, undiagnosed illness in which somatic symptoms are, if present, mild in intensity (American Psychiatric Association, 2013).Case Report. This is a case of seventy-three-year-old Saudi man who started visiting the primary health care center around twenty-five years ago. With concerns of having cancer, the patient continuously visited the hospital, costing over $170,000. Throughout this period, the patient has been exposed to extensive unnecessary imaging studies and laboratory tests that have effects on his life in all aspects with such concerns. Five years ago, a family doctor has put an end to that by directing the patient to the right path. The doctor made several actions; most importantly, he directed the patient to a cognitive behavioral therapy which significantly improved a range of hypochondriacal beliefs and attitudes. This patient’s case demonstrates the fundamental importance of a proper health system that limits such patients from abusing the health system and depleting the medical resources. Moreover, this case emphasizes the important role of the family physician who can be the first physician to encounter such patients. Thus, proper understanding of the nature of such disorder is a key element for better diagnosis and management.

Wybrane zagadnienia położnicze: stosowanie leczenia tokolitycznego po przedwczesnym przerwaniu błon płodowych oraz znaczenie oceny długości szyjki macicy w przezpochwowym badaniu ultrasonograficznym

2018 ◽  
Vol 21 (2) ◽  
Author(s):  
Grażyna Jarząbek-Bielecka ◽  
Paulina Wojtyła-Buciora ◽  
Magdalena Pisarska-Krawczyk ◽  
Witold Kędzia ◽  
Dawid Luwański ◽  
...  
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Transvaginal Ultrasound ◽  
Care Center ◽  
Family Doctor ◽  
Cervical Length ◽  
Daily Work ◽  
Health Care Center ◽  
The Family ◽  
Work Family

In our health care system, family doctor is the first physician that patients have contact with. Family medicine provides basic health care. In his daily work, family doctor independently consults both children and adults regardless of the reason of visit, if necessary, cooperating with consulting physicians working in outpatient specialist centers or referring patients for diagnosis and treatment in specialist centers (hospitals). This also applies to pregnant women. Two specific issues requiring consultation with gynecology clinics are discussed: tocolytic treatment after premature rupture of membranes and the importance of assessing cervical length in transvaginal ultrasound. When discussing obstetric problems from the family doctor’s perspective, the importance of education should be emphasized. The basis of prenatal education for pregnant women, including high-risk pregnant women, consists of an education plan developed by a midwife working in the Primary Health Care Center. The plan is an integral part of the patient’s medical record and includes both practical and theoretical preparation for childbirth, puerperium, breastfeeding and parenting (also in case of group services).

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

Historische Entwicklung, Diagnostik und Klassifikation der Somatoformen Störungen – Vergleich von ICD-10, DSM-IV-TR und DSM-5

2014 ◽  
Vol 11 (03) ◽  
pp. 149-155
Author(s):  
M. Zaudig
Keyword(s):  
Anxiety Disorder ◽  
Somatic Symptom ◽  
Somatic Symptom Disorder ◽  
Historische Entwicklung ◽  
Dsm 5 ◽  
Illness Anxiety Disorder ◽  
Icd 10 ◽  
Dsm Iv ◽  
Illness Anxiety

ZusammenfassungDer vorliegende Artikel beschreibt die aktuellen diagnostischen Entwicklungen im Bereich der Somatoformen Störung unter Zugrundelegung der aktuellen S3-Leitlinien für „Nichtspezifische funktionelle und somatoforme Körperbeschwerden“ und der historischen Entwicklung der Somatoformen Störungen (einschließlich der Hypochondrie). Neben einem Vergleich von ICD-10 mit DSM-IV-TR und DSM-5 werden die neuen Kriterien für Somatic Symptom Disorder und Illness Anxiety Disorder (vormals Hypochondrie) nach DSM-5 vorgestellt und diskutiert.

Sign in / Sign up

Export Citation Format

Share Document