PIPRAMS

LESSON PLAN ON
TOPIC:HYPOCHONDRIASIS
SUBJECT:MENTAL HEALTH
NURSING
SUBMITTED TO: SUBMITTED ON: SUBMITTED BY:
MS.GARIMA PANT 06-01-23 MAHIMA SHISHODIA
ASSISTANT PROFESSOR. BSC. NURSING 3RD YEAR
 IDENTIFICATION DATA:
 NAME OF THE STUDENT TEACHER: MAHIMA SHISHODIA
 NAME OF THE SUBJECT: MENTAL HEALTH NURSING
 NAME OF THE TOPIC: HYPOCHONDRIASIS
 GROUP OF THE STUDENTS: BSC.NURSING 3 YEAR
 SIZE OF THE GROUP: 45
 DATE AND TIME OF PRESENTATION:
 VENUE/PLACE OF PRESENTATION: CLASSROOM
 DURATION OF TEACHING: 45 MINUTES
 AV AIDS: BLACKBOARD, CHART, FLASHCARDS, PAMPHLET
 PREVIOUS KNOWLEDGE ABOUT THE TOPIC:THE GROUP WILL ALREADY HAVE THE
KNOWLEDGE REGARDING THE TOPIC OF "HYPOCHONDRIASIS".

 GENERAL OBJECTIVES: THE END OF THE LECTURE STUDENTS WILL GAIN KNOWLEDGE
REGARDING "HYPOCHONDRIASIS".

 SPECIFIC OBJECTIVES: THE END OF THE LECTURE THE GROUP WILL BE ABLE TO
》To introduce Hypocondriasis.
》To define Hypocondriasis.
》To define age of onset.
》To describe types of Hypocondriasis.
》To discuss causes of Hypocondriasis.
》To dicuss symptoms of Hypocondriasis.
》To describe complications of Hypochondriasis.
》To dicuss diagnosis of Hypocondriasis.
》To describe management for hypochondriasis.

》Summary
》Conclusion
》Bibliography
S NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY/ EVALUATION
OBJECTIVE AV AIDs
1. 2 min To introduce INTRODUCTION Lecture cum discussion What is the
Hypochond- With introduction
riasis Hypocondriasis also known as Black board of Hypocond-
Hypochondria, Illness anxiety riasis?
disorder, or health anxiety, is
worrying excessively that you
are or may become seriously ill.
You may have no physical
symptoms. Or you may believe
that normal body sensations or
minor symptoms are signs of
severe illness.Even after medical
tests show no problems, people
 with hypochondriasis are still
preoccupied with the idea that
think they’re seriously sick.Their
persistent health worries can
interfere with their
relationships, careers and life.

S NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY/ EVALUATION

OBJECTIVE AV AIDs
2. 2 min To define DEFINITION OF Lecture cum discussion What is
Hypochondr- HYPOCHONDRIASIS- With Hypochondri-
iasis Hypocondriasis is a condition in Blackboard asis?
which a person is excessively
and unduly worried about
having a serious illness.
OR
Hypochondriasis is defined as a
persistent preoccupa-
tion with a fear (or believe)
of having one (or more) serious
diseases based on person's own
interpretation
of normal body function or a
 minar physical abnormal-
ity.

AGE OF ONSET-
3. 1 min To define age >Hypochondriasis may begins Lecture cum discussion What is the
of onset anywhere from teenage to old With Age of onset?
years. Blackboard
>Peak age of onset is in the
twenties or thirties.
S NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY/ EVALUATION
OBJECTIVE AV AIDs
4. 4 min To describe TYPES OF HYPOCHONDRIASIS- Lecture cum discussion What is the types
types of A person suffering from With of hypochondri-
hypochondr- hypochondriasis usually falls Blackboard asis?
iasis into following categories:

CARE SEEKING – The sufferers

spend a lot of time in a hospital
looking for help. They constantly
need medical consultations and
regular health checkups for
themselves.

CARE AVOIDANT– They

generally avoid doctors and
medical help. They couldn’t trust
 doctors and believed that the
doctors are paying them.

S NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY/ EVALUATION

OBJECTIVE AV AIDs
5. 5 min To discuss CAUSES OF HYPOCHONDRIASIS- Lecture cum discussion What is the
the causes of It is not clear why people have With causes of
hypocho- hypochondria, but it is more Flashcards Hypocondr-
ndriasis common in people who: iasis?
●have had major stress, illness
or a death in the family
●neglected or abused as a child
●a serious physical illness
●mental health issue such as
anxiety, depression, a
compulsive disorder or a
psychotic illness

Certain activities can trigger an

episode of serious concern in
 someone who is susceptible to
hypochondriasis, including
●reading about diseases on the
internet
●watching something on
television

S NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY/ EVALUATION

OBJECTIVE AV AIDs
●knowing someone with a
serious medical condition
●feeling unwell or noticing
lumps or bumps

6. 5 min To discuss SYMPTOMS- Lecture cum discussion What is the

the sympto- Thinking a lot about having a With Symptoms
ms of hypo- serious illness Chartpaper of hypocond-
condriasis ●Seeing a doctor many times, riasis?
but not accepting reassurances
●Seeking out lots of medical
tests
●talking about health a lot with
friends and family
●spending hours on the internet
 studying symptoms
●having problems sleeping
●having problems with family,
work and social lives because of
concerns about their health

S NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY/ EVALUATION

OBJECTIVE AV AIDs
7. 5 min To describe COMPLICATIONS- Lecture cum discussion What is the
the compli- Relationship or family problems With Complicatio-
cations of because excessive worrying can Pamphlet ns of hypo-
Hypochondr- frustrate others condriasis?
iasis ●Work-related performance
problems or excessive absences
●Financial problems due to
excessive health care visits and
medical bills
●Having another mental health
disorder, such as somatic
symptom disorder, other anxiety
disorders, depression or a
personality disorder.
 DIAGNOSIS OF
HYPOCHONDRIASIS-
The ICD-10 defines Lecture cum discussion What is the
8. 9 min To discuss hypochondriasis as follows: With diagnosis for
Diagnosis of Blackboard Hypochondr-
Hypochondr- A. Either one of the following: iasis?
iasis

S NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY/ EVALUATION

OBJECTIVE AV AIDs
●A persistent belief, of at least
six months' duration, of the
presence of a minimum of two
serious physical diseases (of
which at least one must be
specifically named by the
patient).
●A persistent preoccupation
(body dysmorphic disorder)
B. Preoccupation with the belief
and the symptoms causes
persistent distress or
interference with personal
functioning in daily living and
leads the patient to seek
 medical treatment or
investigations (or equivalent
help from local healers).
C. Persistent refusal to accept
medical advice.

The DSM-IV defines

hypochondriasis according to
the following criteria:
S NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY/ EVALUATION
OBJECTIVE AV AIDs
A. Preoccupation with fears of
having, or the idea that one has,
a serious disease based on the
person's misinterpretation of
bodily symptoms.
B. The preoccupation persists
despite appropriate medical
evaluation and reassurance.
C. The preoccupation causes
clinically significant distress or
impairment in social,
occupational, or other
important areas of functioning.
D. The duration of the
disturbance is at least 6 months.
 MANAGEMENT OF
HYPOCHONDRIASIS-
To describe Lecture cum discussion What is the
9. 9 min Managem- ●Psychological therapy- With management
ent of Blackboard of hypochond-
hypochondr- riasis?
riasis

S NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY/ EVALUATION

OBJECTIVE AV AIDs
Acknowledge patient's pain and
suffering
-Understand symptoms as a
form of emotional
communication
-Search for co morbid medical
and psychiatric illness
●Counselling
●Congnetive behavioural
therapy
●Pharmacotherapy
>Placebo
>Antidepressants
(Eg÷ Mirtazepine, Trazodo-
 ne)
>Antipsychotics
(Second generation antips-
ychotic eg÷ risperidone,
Olanzapine, quetiapine)
And Primozide

SUMMARY
When you feel pain, and nothing physical is causing it, you are going through somatoform
disorder. A type of disease this is characterized under it is hypochondriasis. When you're fearful
and precautious. You usually deal with: Depression, anxiety, pains, ect.

CONCLUSION
 Even though the ICD-10-defined hypochondriasis is rare, a form consisting of the triad of
disease conviction, associated distress and medical help-seeking is present in primarycare
settings in different cultures.

BIBLIOGRAPHY
>R Sreevani, "A Guide To Mental Health And Psychiatric Nursing" 4th edition, Published
by Jaypee Brothers, page no. 233 - 235

>Pawan Sharma, " Essential of mental health nursing " Published by Jaypee Brothers
1st edition, 2013 Page no. 307 - 311

> https://my.clevelandclinic.org/health/diseases/9886-illness-anxiety-disorder-hypochondria-
hypochondriasis
>https://www.slideshare.net/ritika555/hypochondriasis-by-ritika-soni