Am I Overly Anxious? Health Anxiety and Blood Pressure Monitoring

Q: Am I Overly Anxious? Health Anxiety and Blood Pressure Monitoring

Hello： It does sound like there may be symptoms of anxiety disorder. <br>It is recommended to visit a psychiatrist for evaluation and to receive psychotherapy, behavioral therapy, relaxation training, or medication treatment.

If you are measuring your blood pressure 50 times a day, it may indicate that you are experiencing significant anxiety?

Hello Doctor: I am a patient with hypertension.
Although I take my blood pressure medication regularly every day and my blood pressure is completely normal, I have become particularly sensitive to my body due to the trauma of my father's stroke, which left him in a vegetative state before he passed away, as well as financial stress.
I fear that if I were to suffer a stroke, I would burden my family and future generations, making me feel like a sinner.
As a result, whenever I feel slightly unwell (even if it might just be a common cold or fatigue), I become very anxious.
Instead of visiting a local clinic when I feel unwell, I jump straight to a large hospital and see various specialists.
Over the past year, I have undergone numerous tests at the hospital, but almost all results have been normal, and no specific cause has been found for my occasional discomfort.
Nearly 9 out of 10 doctors have told me that I have autonomic nervous system dysregulation.
Now, I find myself measuring my blood pressure with an electronic monitor about 50 times a day, both day and night.
Even though my body is normal, whenever I feel slightly unwell (for example, dizziness or weakness with nausea), I become extremely reactive and keep checking my blood pressure.
If the reading occasionally exceeds around 140/90, I feel like I am shaking and very uncomfortable.
Doctor, am I overly anxious about my health? What should I do? I would appreciate your valuable advice, thank you, Doctor.

Niming, 40~49 year old female. Ask Date: 2017/12/29

Dr. Wu Enliang reply Psychiatry

Hello: It does sound like there may be symptoms of anxiety disorder.
It is recommended to visit a psychiatrist for evaluation and to receive psychotherapy, behavioral therapy, relaxation training, or medication treatment.

Reply Date: 2017/12/29

More Info

It sounds like you are experiencing significant anxiety related to your health, particularly concerning your blood pressure and the fear of potential health issues, such as a stroke. This is not uncommon, especially for individuals who have faced traumatic health events in their family, such as the experience of your father's stroke. Your heightened sensitivity to bodily sensations and the tendency to monitor your blood pressure excessively can indeed be signs of health anxiety, which is a form of anxiety disorder.

Health anxiety can manifest in various ways, including an intense preoccupation with health concerns, frequent medical consultations, and excessive monitoring of bodily functions, such as blood pressure. In your case, it appears that your anxiety is compounded by past trauma and current stressors, leading to a cycle of worry and physical symptoms that may not be directly related to any underlying health issue.

Here are some strategies that may help you manage your anxiety and improve your overall well-being:
1. Limit Blood Pressure Monitoring: While it is essential to monitor your blood pressure, doing so excessively can exacerbate anxiety. Consider setting specific times for monitoring, such as once in the morning and once in the evening, rather than multiple times throughout the day. This can help reduce the anxiety associated with constant checking.

2. Cognitive Behavioral Therapy (CBT): This form of therapy is effective for treating anxiety disorders, including health anxiety. A therapist can help you identify and challenge negative thought patterns related to your health and teach you coping strategies to manage anxiety.

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

4. Physical Activity: Regular exercise can significantly reduce anxiety and improve mood. Engaging in physical activity releases endorphins, which can help counteract feelings of anxiety. Aim for at least 30 minutes of moderate exercise most days of the week.

5. Healthy Lifestyle Choices: Maintaining a balanced diet, getting adequate sleep, and avoiding excessive caffeine and alcohol can also help manage anxiety levels. These lifestyle factors can influence both your physical health and mental well-being.

6. Seek Professional Help: If your anxiety continues to interfere with your daily life, consider consulting a mental health professional. They can provide tailored strategies and, if necessary, medication to help manage your anxiety symptoms.

7. Educate Yourself: Understanding your condition can sometimes alleviate fear. Learning about high blood pressure, its causes, and management can empower you and reduce anxiety related to the unknown.

8. 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.

In conclusion, while it is understandable to be concerned about your health, excessive anxiety can lead to a cycle of worry that may not be beneficial. By implementing some of these strategies, you may find a way to manage your anxiety more effectively and improve your overall quality of life. Remember, it is essential to communicate openly with your healthcare providers about your feelings and concerns, as they can offer additional support and guidance tailored to your needs.

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