Treating Health Anxiety and Fear of Death (eBook)

Patricia Furer, Ph.D., is a clinical psychologist and Associate Professor of Clinical Health Psychology at the University of Manitoba. Dr. Furer has been interested in health anxiety since graduate school and her doctoral dissertation was an examination of hypochondriasis in individuals with various anxiety disorders. Her current research interests include psychological treatments for health anxiety, and the role of safety behaviors and fear of death in the development of health anxiety. Together with Dr. Walker, she has published several papers and book chapters on health anxiety. In her clinical work, Dr. Furer provides cognitive-behavioral treatment for adults with various anxiety and somatoform disorders. She also enjoys providing clinical supervision to graduate students and residents in clinical psychology. John R. Walker, Ph.D. is a clinical psychologist and Professor of Clinical Health Psychology at University of Manitoba. Dr. Walker is active in research, particularly in the areas of anxiety disorders and epidemiology. He supervises senior clinical psychology students in their training in research and treatment in the anxiety disorders area and provides individual and group treatment services himself. He started his career as a psychologist by working for three years as a school psychologist in the public school system. Currently he is principle investigator in a study evaluating a prevention-oriented program to assist parents in helping Kindergarten-age children who are particularly shy and fearful. Through his work with adults, adolescents and children he has developed a longstanding interest in health anxiety. He is an editor of a book titled Panic disorder and agoraphobia: A comprehensive guide for the practitioner (1991) and in 2001 he was coauthor of a self-help book with Dr. Murray Stein titled: Triumph over shyness: Conquering shyness and social anxiety. Murray B. Stein, MD, MPH, FRCPC, is Professor of Psychiatry and Family & Preventive Medicine at the University of California, San Diego (UCSD) and Director of the Anxiety & Traumatic Stress Program at UCSD and at the Department of Veterans Affairs San Diego Healthcare System. He graduated from the University of Manitoba and was a postgraduate trainee at the University of Toronto and at the National Institute of Mental Health in Bethesda, Maryland, USA. He subsequently completed a Master of Public Health degree at the Johns Hopkins University Bloomberg School of Public Health. His research interests include the neurobiology, epidemiology, and treatment of anxiety disorders including social phobia, panic disorder, and posttraumatic stress disorder. Dr. Stein has written or co-written over 250 peer-reviewed scientific articles on these topics, including publications in journals such as The Lancet, Journal of the American Medical Association, American Journal of Psychiatry, and Archives of General Psychiatry. His federally funded research includes studies of interventions for anxiety disorders in primary care, pharmacological approaches to treatment-resistant anxiety disorders, and functional neuroimaging research in anxiety and trauma-related disorders. Dr. Stein is a member of the Scientific Advisory Board of the Anxiety Disorders Association of America (ADAA), Scientific Chair of the NIH Interventions in Mood and Anxiety (ITMA) Review Group, a reviewer for numerous journals, and a member of the editorial boards of Depression & Anxiety, General Hospital Psychiatry, The Science World (TSW) Psychiatry, and Trends in Evidence-Based Neuropsychiatry.

ABOUT THE AUTHORS 7
PREFACE 9
ACKNOWLEDGMENTS 11
CONTENTS 12
LIST OF HANDOUTS 14
UNDERSTANDING HEALTH ANXIETY 15
FEAR OF ILLNESS AND DEATH 16
ETIOLOGICAL FACTORS 33
A COGNITIVE- BEHAVIORAL PERSPECTIVE 46
ASSESSMENT AND TREATMENT OF HEALTH ANXIETY 61
TREATMENT: WHAT ARE THE CHOICES? 62
ASSESSMENT 77
OVERVIEW OF COGNITIVE BEHAVIORAL TREATMENT 90
RESPONSE PREVENTION AND COPING WITH PHYSICAL SYMPTOMS 102
EXPOSURE 119
COGNITIVE INTERVENTIONS 135
OVERCOMING FEAR OF DEATH 152
SATISFACTION AND ENJOYMENT OF LIFE 165
PHARMACOLOGICAL TREATMENT 178
TROUBLESHOOTING AND SPECIAL ISSUES IN TREATMENT 188
SPECIAL POPULATIONS 200
HEALTH ANXIETY AND SOMATIZATION IN CHILDREN 201
HEALTH ANXIETY IN ILLNESS AND AGING 214
AUTHOR INDEX 251
SUBJECT INDEX 261