A patient who fears serious heart disease was referred to the mental health center by a cardiologist after extensive diagnostic evaluation showed no physical illness. The patient says, "I have tightness in my chest and my heart misses beats
I'm frequently absent from work. I don't go out much because I need to rest." Which health problem is most likely?
a. Dysthymic disorder
b. Antisocial personality disorder
c. Simple somatic symptom disorder
d. Prominent health anxiety (hypochondriasis)
ANS: D
Prominent health anxiety (hypochondriasis) involves a preoccupation with fears of having a serious disease, even when evidence to the contrary is available. The preoccupation causes impairment in social or occupational functioning. Simple somatic symptom disorder involves fewer symptoms. Dysthymic disorder is a disorder of lowered mood. Antisocial disorder applies to a personality disorder in which the individual has little regard for the rights of others.
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