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What is the diagnosis?

A male presented with headache, tinnitus and nausea thinking that he has a brain tumor. He had just secured a job in a prestigious company and he thinks that he might not meet its standards. CNS exam, CT, all within normal.

What is the diagnosis?
A . Conversion reaction
B . Generalized Anxiety disoreder
C . Panic attack
D . Hypochondriasis

Answer: D

Explanation:

Diagnostic criteria for hypochondriasis include the following: The patient has a preoccupying fear of having a serious disease. The preoccupation persists despite appropriate medical evaluation and reassurance. The belief is not of delusional intensity (as in delusional disorder, somatic type) and is not Restricted to a concern about appearance (as in persons with BDD). The preoccupation causes clinically significant distress or impairment.

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