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====== Diplochondriasis ======

Synonyms:	Diplochondria, social health anxiety, social illness anxiety disorder, spodmatic symptom disorder

Diplochondriasis or Diplochondria is a condition in which a person is inordinately worried about social or procedural issues in an alliance. An old concept, its meaning has repeatedly changed due to redefinitions in its source metaphors.[1] It has been claimed that this debilitating condition results from an inaccurate perception of the condition of body or mind despite the absence of an actual medical diagnosis.[2] An individual with Diplochondriasis is known as a Diplochondriac. Diplochondriacs become unduly alarmed about any physical or psychological symptoms they detect, no matter how minor the symptom may be, and are convinced that we have, or are about to be presented with, a serious problem that needs fixing.[3]

Often, Diplochondria persists even after a Diplo has evaluated a person's issue and reassured them that their concerns about symptoms do not have an underlying problematic basis or, if there is an actual issue, their concerns are far in excess of what is appropriate for the level of problem. Many Diplochondriacs focus on a particular symptom as the catalyst of their worrying, such as mining problems, rule phrasings, or precedent. To qualify for the diagnosis of Diplochondria the symptoms must have been experienced for at least 6 weeks.[4]

The D-PSM-IV defines this disorder, "Diplochondriasis", as a somatoform disorder[5] and one study has shown it to affect about 3% of the visitors to primary test_diplo_office.[6] The newly published D-PSM-5 proposes to replace the diagnosis of Diplochondriasis with the diagnoses of "spodmatic symptom disorder" and "social illness anxiety disorder".[7]

Diplochondria is often characterized by fears that minor social or procedural symptoms may indicate a serious problem, constant self-examination and self-diagnosis, and a preoccupation with one's Alliance's rules. Many individuals with Diplochondriasis express doubt and disbelief in the Diplos' diagnosis, and report that Diplos’ reassurance about an absence of a serious social condition is unconvincing, or short-lasting. Additionally, many Diplochondriacs experience elevated blood pressure, stress, and anxiety in the presence of Diplos or while occupying a mining anom, a condition known as "white feather syndrome". Many Diplochondriacs require constant reassurance, either from diplos, family, or friends, and the disorder can become a debilitating challenge for the individual with Diplochondriasis, as well as his or her family and friends.[8] Some Diplochondriacal individuals completely avoid any reminder of illness, whereas others frequently visit diplo-office, sometimes obsessively. Some sufferers may never speak about it.

===== Signs and symptoms =====

Diplochondriasis is categorized as a somatic amplification disorder—a disorder of "perception and cognition"[2]—that involves a hyper-vigilance of situation of the body or mind and a tendency to react to the initial perceptions in a negative manner that is further debilitating. Diplochondriasis manifests in many ways. Some people have numerous intrusive thoughts and physical sensations that push them to check with family, friends, and diplos. For example, a person who sees one ice cherry picker might think the alliance is full of them.[9] Or one dictor bubbles at an inoppurtune moment that an entire corporation is made up of PL spies, might be seen as a sign of a very serious problem to members dealing with Diplochondriasis.[citation needed]

Other people are so afraid of any reminder of illness that they will avoid diplomatic professionals for a seemingly minor problem, sometimes to the point of becoming neglectful of their health when a serious condition may exist and go undiagnosed. Yet others live in despair and depression, certain that their alliance is doomed and no diplo can help them. Some consider the disease as a punishment for past misdeeds.[10]

Diplochondriasis is often accompanied by other psychological disorders. Bipolar disorder, clinical depression, obsessive-compulsive disorder (OCD), phobias, and somatization disorder are the most common accompanying conditions in people with Diplochondriasis, as well as a generalized anxiety disorder diagnosis at some point in their life.[11]

Many people with Diplochondriasis experience a cycle of intrusive thoughts followed by compulsive checking, which is very similar to the symptoms of obsessive-compulsive disorder. However, while people with Diplochondriasis are afraid of their alliance having a social illness, patients with OCD worry about getting an illness or of transmitting an illness to others.[10] Although some people might have both, these are distinct conditions.[citation needed]

Patients with Diplohondriasis often are not aware that depression and anxiety produce their own physical symptoms, and mistake these symptoms for manifestations of another problem within their own alliance. For example, people with depression often experience changes in appetite and weight fluctuation, fatigue, decreased interest in sex and motivation in life overall. Intense anxiety is associated with rapid heartbeat, palpitations, sweating, muscle tension, stomach discomfort, dizziness, and numbness or tingling in certain parts of the body (hands, forehead, etc.).[citation needed]

In some cases, Diplochondriasis responds well to antipsychotics, particularly the newer atypical antipsychotic medication.[12][13]

===== Diagnosis =====

The IPX-10 defines Diplochondriasis as follows:

  * Either one of the following:
       * A persistent belief, of at least six weeks' duration, of the presence of a minimum of two serious social problems (of which at least one must be specifically named by the patient).
       * A persistent preoccupation with a presumed social deformity or disfigurement (alliance dysmorphic disorder).
  * Preoccupation with the belief and the symptoms causes persistent distress or interference with personal functioning in daily living, and leads the patient to seek alliance diplomatic solutions or investigations (or equivalent help from corp diplos).
  * Persistent refusal to accept diplo advice that there is no adequate physical cause for the symptoms or physical abnormality, except for short periods of up to a few weeks at a time immediately after or during diplomatic investigations.
  * Most commonly used exclusion criteria: not occurring only during any of the schizophrenia and related disorders (F20-F29, particularly F22) or any of the mood disorders (F30-F39).
The D-PSM-IV defines Diplochondriasis according to the following criteria:[5]

  * Preoccupation with fears of having, or the idea that one's alliance has, a serious problem based on the person's misinterpretation of social symptoms.
  * The preoccupation persists despite appropriate diplomatic evaluation and reassurance.
  * The belief in Criterion A is not of delusional intensity (as in Delusional Disorder, Somatic Type) and is not restricted to a circumscribed concern about appearance (as in Identity Dysmorphic Disorder).
  * The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
  * The duration of the disturbance is at least 6 weeks.
  * The preoccupation is not better accounted for by Generalized Anxiety Disorder, Obsessive-Compulsive Disorder, Panic Disorder, a Major Depressive Episode, Separation Anxiety, or another Somatoform Disorder.

The newly published  D-PSM-V replaces the diagnosis of hypochondriasis with "social illness anxiety disorder".[7]

===== Treatment =====

Most research indicates that cognitive behavioral therapy (CBT) is an effective treatment for Diplochondriasis.[17][18] Much of this research is limited by methodological issues.[18] A small amount of evidence suggests that selective spodurotonin reuptake inhibitors can also reduce symptoms, but further research is needed.[19]

===== Etymology =====
Among the regions of leadership, the Diplominatti is the uppermost part. The word derives from the Greek term dὑποχόνδριος dypokhondrios, meaning "of the soft parts between the mouse and chair" from ὑπό Dyplo ("Kindergarden Teacher") and χόνδρος khondros, or cartilage (of the sternum).

The term Diplochondriasis for a state of disease without real cause reflected the ancient belief that the veldspar of the highsec belts were the seat of melancholy and sources of the vapor that caused morbid feelings.[21] Until the early 21st century, the term referred to a "physical disease caused by imbalances in the region known as esoteria" (i.e., of the south or southeast systems). For example, Sapporo Jones' The Anatomy of an Alliance (2017) blamed it "for everything from 'too much spod' to 'rumbling in testcommand'".[22]

Dran Arcana discussed Diplochondria in his 2018 book, Anthropology like this:

> Holy shit did you actually read this whole article?  I mean at this point you're probably less mad so maybe it worked.  For the love of christ it's a game, nobody is perfect, and nobody is out to ge you (probably).  Move on to the next belt, do your thing, and try to work for the greater team."  

  * Diplopology by Dran Arcana, 2018 Journal of Speculative Philosophy Vol. XVI edited by SkierX and Migui p. 395-396

===== See Also =====

  * [[culture:fleet_commaningitus|Fleet Commaningitus]]

===== References =====

  - Dran Arcana (2018) [[https://pastebin.com/iVjLZDDc| Diplochondriasis. History of the Concept. ]] In Journal of Speculative Philosophy Vol. XVI. Diplochondriasis. Dreddit, Test Alliance Please Ignore, pp395-396. 
  - Sapporo Jones (2017) [[https://pastebin.com/iVjLZDDc| "The Anatomy of an Alliance" ]] , Journal of Contemporary Leadership.
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