Overcoming Anxiety and Obsessive Thoughts About Health Risks - Psychiatry

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Anxiety, Obsessive-Compulsive Disorder (OCD)


Hello Doctor, I experienced something a couple of weeks ago on Saturday, August 20th.
I was at home gathering laundry, but my hands weren't very clean at the time, and I accidentally touched the inside of my 72-year-old grandmother's personal clothing.
Since my grandmother is elderly and her health isn't as good as that of younger people, I started to worry if I might get cancer or some serious illness.
While thinking about this, I fell into a very dark emotional state, feeling like the future is bleak.
I'm also concerned that if my grandmother were to suffer because of me, I would feel guilty for the rest of my life, even though there are other possibilities.
I still find myself worrying about getting cancer or some serious disease.
I've had similar situations in the past.
Could you help me address this concern? Otherwise, I will keep thinking about it...
and thinking...
Doctor, if six months pass and I haven't experienced any health issues, can I think that everything is fine? Just the thought of it plunges me into a dark emotional state...
I really appreciate your help, thank you, Doctor.

Mr. Zeng, 20~29 year old female. Ask Date: 2016/08/31

Dr. Qiu Junda reply Psychiatry


Hello: Although obsessive-compulsive disorder (OCD) has specific diagnostic criteria, if you are experiencing repetitive thoughts that you do not wish to continue and that are causing you psychological distress, it is indeed indicative of obsessive thinking tendencies.
I hope you seek medical consultation as soon as possible for appropriate diagnosis and treatment.

Reply Date: 2016/08/31

More Info


Overcoming anxiety and obsessive thoughts about health risks can be a challenging journey, especially when these thoughts lead to a cycle of fear and self-blame. It’s important to recognize that anxiety often stems from our natural instinct to protect ourselves and our loved ones, but when this instinct becomes excessive, it can lead to distress and interfere with daily life.

First, let’s address the core of your anxiety regarding health risks, particularly the fear of contracting serious illnesses like cancer from touching your grandmother's clothing. It’s crucial to understand that while it’s natural to worry about health, especially concerning loved ones, the likelihood of developing a serious illness from such an incidental contact is extremely low. Our bodies have robust immune systems designed to handle minor exposures to bacteria and viruses.
The feelings of darkness and self-blame you experience are common among individuals who struggle with anxiety. This often leads to a cognitive distortion known as "catastrophizing," where one assumes the worst possible outcome from a situation. It’s essential to challenge these thoughts. Ask yourself: What evidence do I have that this situation will lead to a severe illness? Is there a more balanced way to view this situation?
One effective strategy for managing anxiety is cognitive-behavioral therapy (CBT), which focuses on identifying and reframing negative thought patterns. For instance, when you find yourself spiraling into thoughts of illness, try to redirect your focus to the present moment. Engage in mindfulness practices, such as deep breathing or meditation, which can help ground you and reduce anxiety.
Additionally, consider setting aside specific times to address your worries. For example, allocate 10-15 minutes each day to acknowledge your fears and write them down. This practice can help contain your anxiety to a manageable timeframe, preventing it from overwhelming your day-to-day life.

Regarding your concern about whether feeling fine after six months means you are in the clear, it’s a reasonable thought process. While it’s not a guarantee, the absence of symptoms over a significant period is generally a positive sign. However, it’s essential to maintain a balanced perspective. Instead of fixating on potential health issues, focus on living a healthy lifestyle—eating well, exercising, and engaging in activities that bring you joy and fulfillment.

Lastly, if you find that your anxiety continues to interfere with your daily life, seeking professional help from a mental health provider can be beneficial. They can offer tailored strategies and support to help you navigate your feelings and develop coping mechanisms.

In summary, overcoming anxiety and obsessive thoughts about health risks involves recognizing and challenging irrational fears, practicing mindfulness, and focusing on positive, healthy behaviors. Remember, it’s okay to seek help, and you don’t have to face these feelings alone. With time and the right strategies, it is possible to regain a sense of peace and control over your thoughts.

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