Challenges in the assessment and treatment of health anxiety: The case of Mrs. A.

Health anxiety can present a challenge for clinicians, both from the perspective of assigning a DSM-IV diagnosis and in developing an appropriate treatment plan. The case of Mrs. A. illustrates some of the complexities that arise in the diagnosis and treatment of health anxiety. Mrs. A. is a 60-year-old retired teacher who presented to a specialized anxiety clinic with a wide range of health anxiety symptoms. The details of Mrs. A.'s case are presented along with information obtained during her assessment. Issues related to conceptualization and potential obstacles to treatment are highlighted. This case is discussed by a number of experts in the field of health anxiety who provide different cognitive-behavioral perspectives on conceptualization and treatment planning.