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Cognitive behavioural therapy significantly improves hypochondriacal symptoms

Intervention: Six 90 minute weekly sessions of individual cognitive behavioural therapy, specifically addressing hypochondriasis and including educational information, or usual care. To coordinate medical management with cognitive behavioural therapy, letters were sent to the participants’ practioners, advising them to be conservative in diagnosis and treatment, schedule regular appointments, make improved coping a treatment goal rather than symptom elimination, provide only limited reassurance, and explain symptoms using the model of cognitive and perceptual symptom amplification.