Am I Experiencing Health Anxiety? Symptoms and Solutions

Is it hypochondriasis?

Since last year, I have often felt sudden anxiety, which led me to visit the emergency room two or three times.
The doctors said it was autonomic nervous system dysregulation, but I seem to have become more neurotic.
Whenever I experience pain in any part of my body, I start to think the worst, and my mood has become increasingly negative.
Additionally, just watching television or hearing about someone being ill makes me feel unwell too.
Whenever I receive a health report with even slightly abnormal results, I begin to doubt whether something is wrong with me.
As a result, I experience hyperventilation, chest tightness, and chest pain.
A few months ago, I had an echocardiogram, and the doctor said everything was fine.
Am I experiencing illness anxiety disorder? This has been troubling me for a long time.
Even when I am out having fun with family or friends, my mood can suddenly drop, which is really distressing.
I have sought counseling from a clinical psychologist, and it initially helped, but recently the symptoms have returned.
I hope the doctor can provide me with some advice.

Linda, 10~19 year old female. Ask Date: 2017/12/04

Dr. Qiu Junda reply Psychiatry

Hello.
The situation described in the text can be considered as symptoms of autonomic nervous system dysfunction.
For now, it is not necessary to differentiate whether it is a case of illness anxiety disorder, as it falls within that category.
There is often anxiety, negative emotions, and some physical symptoms.
Since you have already sought counseling from a clinical psychologist and have experienced improvement, I recommend that you continue this approach.
Alternatively, you may consult a nearby psychosomatic medicine clinic for diagnosis and assistance in arranging psychological counseling sessions.
I believe this will lead to improvement soon.

Reply Date: 2017/12/04

More Info

It sounds like you are experiencing significant health anxiety, which is a common issue that many people face. Health anxiety, often referred to as hypochondria or illness anxiety disorder, involves excessive worry about having a serious illness, even when there is little or no medical evidence to support such concerns. Your symptoms, including the tendency to catastrophize minor physical sensations, the emotional distress triggered by hearing about others' health issues, and the negative impact on your mood and daily life, align with this condition.

Understanding Health Anxiety
Health anxiety can manifest in various ways, including:
1. Physical Symptoms: You mentioned experiencing chest tightness and pain, which can be exacerbated by anxiety. The body's stress response can lead to physical symptoms that mimic serious health conditions, creating a vicious cycle of worry and discomfort.

2. Cognitive Distortions: This includes jumping to conclusions about your health based on minimal evidence. For example, a slight headache might lead you to fear a brain tumor, or a minor ache could be interpreted as a sign of a serious illness.

3. Emotional Distress: Feelings of sadness or anxiety can arise when you are preoccupied with health concerns. This can lead to a negative feedback loop, where anxiety about health leads to depression and vice versa.

4. Avoidance Behavior: You may find yourself avoiding situations that could trigger your anxiety, such as watching medical shows or discussing health topics, which can further isolate you and exacerbate feelings of distress.

Strategies for Managing Health Anxiety
1. Cognitive Behavioral Therapy (CBT): This is one of the most effective treatments for health anxiety. CBT helps you identify and challenge irrational thoughts about your health and replace them with more balanced and realistic perspectives. Working with a trained therapist can provide you with tools to manage your anxiety more effectively.

2. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce anxiety symptoms. These techniques encourage you to focus on the present moment and can help alleviate the physical symptoms of anxiety.

3. Limit Health-Related Research: While it’s natural to seek information, excessive research can fuel anxiety. Try to set boundaries on how much time you spend looking up health information online. Instead, consider discussing your concerns with a healthcare professional who can provide accurate information.

4. Regular Check-Ups: While it may seem counterintuitive, regular visits to your healthcare provider can help reassure you about your health. Knowing that you are being monitored can reduce anxiety about potential health issues.

5. Engage in Activities: Focus on activities that bring you joy and fulfillment. Engaging in hobbies, spending time with friends, or participating in physical activities can help shift your focus away from health concerns and improve your mood.

6. Medication: In some cases, medication may be necessary to help manage anxiety symptoms. Consult with a psychiatrist or your primary care physician to discuss whether this might be an appropriate option for you.

7. Support Groups: Connecting with others who experience similar feelings can provide comfort and understanding. Support groups, whether in-person or online, can be a valuable resource for sharing experiences and coping strategies.

When to Seek Professional Help
If your anxiety continues to interfere with your daily life, relationships, or overall well-being, it may be time to seek further professional help. A mental health professional can provide a comprehensive evaluation and tailor a treatment plan that meets your specific needs.

In conclusion, while it’s understandable to be concerned about your health, it’s essential to recognize when those concerns become excessive. By employing coping strategies and seeking professional guidance, you can work towards alleviating your health anxiety and improving your overall quality of life. Remember, you are not alone in this, and help is available.

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