The psychological intervention in a case of hypochondríasis with an obsessive component is presented. The patient was a young female with a mortiid preoccupation about the possibility of having a breast and/or genital cáncer. This preoccupation was making her considerabily anxious, and she tríed to reduced such anxiety by compulsively checl<ing her breasts, wich resulted in physical problems. We show the application of a multicomponent program in which exposure strategies plus responso prevention, habit reversal and anxiety reduction techniques were combined. A cognitive component developed through the sessions of treatment, as well. Finatly, the difñcuity of making a differential diagnosis between hypochondríasis and obsessive-compulsive disorder is also adressed.
Se relata la intervención realizada en un caso de trastorno hipocondríaco en el que la paciente, una mujer joven, presenta una preocupación mortwsa por la posibilidad de padecer un cáncer de manía y/o genital. Esta preocupación le provocaba una considerable ansiedad, la cual reducía a través de un comportamiento compulsivo de auto-exploración mamaría, que llegó a ocasionaría problemas físicos en los senos. Se ejemplifica la aplicación de un programa multicomponente en el que se combinaron estrategias de exposición con prevención de respuesta, habit reversal y técnicas de reducción de ansiedad, asi como un componente cognitivo que se desarrolló a lo largo de todas las sesiones. Se expone también la dificultad que sobreviene en ocasiones para establecer el diagnóstico diferencial entre la hipocondría y el trastorno obsesivo-compulsivo.
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