Enhancing Cognitive-Behavioral Therapy for Monosymptomatic Hypochondriasis With Motivational Interviewing: Three Case Illustrations

Monosymptomatic hypochondriasis (MSH) is frequently referred to as a delusional variant of hypochondriasis. Treatment is typically difficult to initiate and complete for this condition. This article describes three uncontrolled cases of MSH where cognitive-behavioral therapy was administered following an initial phase of motivational interviewing. Cognitive-behavioral therapy consisted of combinations of exposure and cognitive therapy. At treatment termination and 6-month follow-up, all three clients showed improvement on measures of depression, anxiety, and belief conviction of the presence of illness. Implications for treatment and future research on MSH are discussed.