Should I Seek Help for My Anxiety About Health Concerns?

Should I take the medication?

Hello, doctor: A few years ago, when someone in my family fell ill, I became very attentive to my own health.
I frequently check my blood pressure, measure the size of moles on my body with a ruler, and palpate my body for any lumps.
These self-examinations take up a lot of my time each day, and I find it quite distressing.
Sometimes, my worries fade over time; for example, I used to measure my blood pressure ten times a day for two or three months, but then I became more concerned about my moles and stopped worrying about my blood pressure.
Recently, I noticed what seems to be a small fold next to my throat, and I keep wondering if it's just a fold or some kind of edema.
Last week, I visited three different ENT specialists, and they all said it was nothing to worry about.
Each time I left the doctor's office, I felt much more at ease, but then the next morning, I would look in the mirror at my throat, wondering if the doctors might have missed something, prompting me to see other ENT specialists.
I now wake up every morning feeling very distressed because I have a strong urge to look in the mirror at my throat (I try to suppress this urge but still feel compelled to check).
I feel miserable in my daily life, constantly worrying about my condition, especially since I am currently trying to conceive and plan to get pregnant in six months.
I am afraid that if I see a psychiatrist, I might have to take medication that could prevent me from getting pregnant, yet I also desire medical help.
Doctor, should I see a doctor? Thank you.

Cai Cai, 30~39 year old female. Ask Date: 2017/06/13

Dr. Ding Shuyan reply Psychiatry

Hello, I believe that considering the impact of your condition on your life and your level of distress, it would be better for you to see a doctor.
Managing obsessive thoughts or behaviors on your own can be quite challenging and may take a long time.
Taking medication in conjunction with psychological therapy from a physician should lead to much quicker improvement.
Once your symptoms improve, you can reduce the medication, so there’s no need to worry excessively about the effects of medication at this stage; accurate information should come from your doctor for peace of mind.
If you are considering pregnancy, it is advisable to use contraception for a few months if possible.
However, if you are eager to conceive, you should discuss this with your doctor, as the choice of medication will need to be carefully considered.
Wishing you all the best.
Sincerely, Dr.
Ding Shuo-Yan.

Reply Date: 2017/06/13

More Info

It sounds like you're experiencing significant anxiety related to your health, which is understandable given your past experiences and the current circumstances in your life. The concerns you have about your body and the compulsive behaviors you've developed, such as frequently checking your blood pressure or examining moles, are common manifestations of health anxiety. This condition can lead to a cycle of worry and compulsive checking that can be quite distressing and time-consuming.

First and foremost, it is important to acknowledge that your feelings are valid. Many people experience heightened anxiety about their health, especially after witnessing illness in loved ones. This can lead to a hyper-focus on bodily sensations and a tendency to interpret normal variations in health as signs of serious illness. The fact that you've sought medical advice multiple times and received reassurance from healthcare professionals indicates that you are taking responsible steps to address your concerns. However, the persistence of your anxiety suggests that it may be beneficial to seek additional support.

Cognitive Behavioral Therapy (CBT) is a highly effective treatment for health anxiety. It focuses on identifying and challenging irrational thoughts and beliefs about health, as well as developing healthier coping strategies. A therapist can help you understand the cognitive distortions that contribute to your anxiety, such as catastrophizing (expecting the worst possible outcome) and all-or-nothing thinking. Through CBT, you can learn to reframe your thoughts and reduce the compulsive behaviors that are causing you distress.

Additionally, mindfulness techniques can be beneficial in managing anxiety. Mindfulness involves being present in the moment and accepting your thoughts and feelings without judgment. This practice can help you observe your anxiety without becoming overwhelmed by it. Techniques such as deep breathing, progressive muscle relaxation, and guided imagery can also help reduce physical symptoms of anxiety.

Regarding your concerns about medication and pregnancy, it is important to communicate openly with your healthcare provider. Many medications used to treat anxiety can be managed in a way that is safe for pregnancy, and your doctor can help you weigh the risks and benefits. If medication is necessary, there are options that may be safer during pregnancy. Your mental health is crucial, especially as you prepare for pregnancy, and addressing your anxiety can lead to a healthier mindset for you and your future child.

In summary, seeking help for your anxiety about health concerns is a wise decision. It can provide you with the tools and support you need to manage your anxiety effectively. Remember, you are not alone in this experience, and there are professionals who can help guide you through it. Taking the step to consult with a mental health professional can lead to significant improvements in your quality of life and help you feel more in control of your health and well-being.

Similar Q&A

Understanding Hypochondria: When to Seek Help for Anxiety Symptoms

I have been very anxious since childhood, often feeling that minor symptoms are serious, and I constantly worry about whether I need to go to the hospital for a check-up.

Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Some manifestations of illness are exaggerated concerns about normal variations in physiological functions, while others may involve minor issues that patients overreact to, fearing they have a serious disease. If you find this dist...

Struggling with Health Anxiety: When to Seek Mental Health Support

Hello, doctor. I feel that my tendency to worry about illness is getting out of control. Ever since I discovered a swollen lymph node in my neck over two months ago that hasn't gone down, I've been obsessively visiting various hospitals and clinics. Even after an ultras...

Dr. Huang Xiaoxian reply Psychiatry
Hello, Xiao K. I'm sorry to hear that you are troubled by health-related anxiety. The fear of illness is a common issue that many people encounter throughout their lives. Some individuals may experience anxiety about death when faced with stressful life events or when friend...

Constantly Worrying About Health: When to See a Mental Health Professional

I often worry about my health; whenever I have a slight issue, I feel like it could be something serious like cancer. Recently, I've been feeling off, but my check-ups have shown nothing wrong. However, I still feel like there might be something that hasn't been detecte...

Dr. Yu Quanxun reply Psychiatry
Hello, based on your description, you are quite concerned about your physical condition, which is causing you some distress. Although your tests have all come back normal, you still feel anxious. If this level of worry is affecting your mood and sleep, I would recommend seeking h...

Should I Seek Help for My Mental Health Struggles?

Hello, doctor. I have been considering seeking medical help for many years, but due to various factors, I do not want my family to know. I am also not fully capable of making decisions on my own, which has prevented me from going. In recent years, my condition has worsened; I bre...

Dr. Liang Sunyuan reply Psychiatry
Hello, Xiao Nian: Most psychiatrists are very friendly. If you feel that these symptoms are troubling you, you can seek consultation. We do not require a confirmed diagnosis to see a doctor; if you have concerns, you can register for an appointment for an evaluation. It's si...