Integrated Treatment Program for Hypochondriasis in Primary Care Settings

Inclusion Criteria: * Has received primary medical care at Harvard Vanguard Medical Associates (HVMA) for at least 12 months prior to study entry * Expects to continue receiving care from the current primary care physician for at least the next 12 months * Meets requirement for average hypochondriasis screening score * Able to speak and read English * Falls within the top 20% of utilizers of health care services in the HVMA system over the past year * Has attended no more than one visit to any specialist over the year prior to study entry Exclusion Criteria: * Psychiatric illness (e.g., psychosis, dementia, suicidal ideation) * Somatoform pain disorder or currently receiving treatment for somatoform pain disorder (e.g., relaxation training) * History of alcohol or substance abuse or dependence within the 12 months prior to study entry * Terminal medical illness or major medical illness expected to worsen significantly over the next year * Ongoing symptom-contingent litigation against HVMA * Monetary compensation for medical disability