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Hypochondria originally meant feelings of melancholy or anxiety, since these were believed to originate in a part of the abdomen called the hypochondrium. Its meaning later changed to mean anxiety about illness.

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Q: How did the meaning of hypochondriac change to mean imagined sickness?
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To be a hypochondriac is to be someone who is constantly thinking they are ill when they aren't. Sometimes people don't have a firm hold of the definition, so someone could be trying to insinuate that you are lying about your pain, that you are exaggerating it, or that they feel that it is your own neurotic behavior that is causing your pain. To be a hypochondriac is quite different from having a somatoform disorder - which is where the pain is legitimate, but all caused by psychological issues. Both of these are different from fictitious disorder, where the person is lying about illness for primary or secondary gains. Since you put this in the migraine category, I'll say that migraineurs have a long history of being misunderstood. There was once a standard profile doctors used to fit migraines - you had to be a hysterical, neurotic woman. They believed that stress was the most likely contributor, and that migraines occurred in people who didn't know how to handle their lives. Nowadays, we know better - that there is an actual chemical and electrical change that happens in the brain, and that it has a variety of things that can set it off. 3/1/2010 That is what a hypochondriac is. Hypochondriac pain actually means abdominal pain...near the ribs.


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