Health Anxiety: Coping with Fear of Illness and Cancer - Psychiatry

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Why are humans so fragile? It makes me so tired, constantly worrying about minor symptoms?


I want to share my current living situation with you.
I don't smoke, drink, or chew betel nut, but I do stay up late, usually going to bed around midnight to 1 AM.
I only get about 6 hours of sleep each day before I have to work.
I have a habit of exercising, but I often get sick for some reason.
Since I had blood in my stool last year, I underwent a colonoscopy, which revealed only an anal fissure and everything else was normal.
However, it seems that my physical and mental well-being has been affected since then.
I frequently search for information about cancer and worry daily about whether I have it.
I often rush to clinics for minor symptoms, visiting several different ones.
My friends say I'm wasting health insurance resources; I've used it dozens of times this year alone.
For instance, if I have a small sore on my tongue, I worry it might be oral cancer.
If my lymph nodes swell slightly when I have a cold, I fear it could be lymphoma.
If my stomach feels uncomfortable, I worry it might be stomach or colon cancer...
and there are many more concerns.
After learning about these issues, I realize how fragile human beings are, and it feels exhausting to keep worrying about cancer.
Currently, I also experience frequent abdominal pain and mouth sores, which makes me anxious about stomach or oral cancer.
Although I underwent several major examinations last year, such as a colonoscopy, gastroscopy, and nasopharyngoscopy with CT scans, my doctor reassured me that I could relax.
However, I only felt reassured temporarily; when my body has issues again, I start to feel anxious and go back to the clinic.
Even when doctors say it's a minor problem, I find it hard to trust them and start speculating whether it could be cancer.
This situation has left me feeling very exhausted, compounded by family, work, and financial pressures.
Sometimes, I really feel that living is exhausting.
Perhaps it's because modern life moves so quickly, and I'm constantly chasing after money.
No one seems to listen to me, which prevents me from sharing my pain, leading to my current state.
I also don't want to worry my family, so I haven't discussed these issues with them.
Doctor, could you please give me some advice on this matter? Thank you.

Luo Kairen, 20~29 year old female. Ask Date: 2018/04/12

Dr. Xiao Minghong reply Psychiatry


Hello, Mr.
Luo Kai-wang:
From your question, it is evident that you are under a significant amount of stress.
Prolonged exposure to high-pressure environments can lead to burnout.
Physiologically, this can result in immune system dysfunction, cardiovascular diseases, gastrointestinal discomfort, and may be related to your current susceptibility to illness.
Psychologically, you may feel helpless and hopeless, and some individuals may experience anxiety, depression, or emotional instability.

The best way to address this is, of course, to resolve the source of your stress, but we all know that many issues cannot be resolved quickly.
In the short term, it is essential to ensure you get adequate rest to replenish your physical and mental energy, allowing for quicker recovery from exhaustion.
In the medium term, having good outlets for expression is crucial, such as confiding in trusted friends or family.
It is best to find someone who can help you, as this can make the process more efficient.
If you do not have an outlet, you may eventually experience an explosive reaction, leading to greater harm.

In the long term, it is important to address your stress step by step.
If your feelings of despair become increasingly intense, it is advisable to seek an evaluation at a psychiatric clinic.

Wishing you all the best!
Sincerely,
Dr.
Hsiao Ming-hong
Department of Psychiatry

Reply Date: 2018/04/12

More Info


Dealing with health anxiety, particularly the fear of serious illnesses like cancer, can be an overwhelming experience. It’s important to recognize that your feelings are valid and that many people share similar concerns. The cycle of anxiety often leads to a heightened awareness of bodily sensations, which can create a feedback loop of worry and physical symptoms. Here’s a comprehensive approach to understanding and coping with health anxiety.


Understanding Health Anxiety
Health anxiety, often referred to as hypochondria, is characterized by an excessive preoccupation with having a serious illness. This condition can manifest in various ways, including frequent self-examinations, seeking multiple medical opinions, and interpreting normal bodily sensations as signs of severe illness. Your experience of feeling fatigued, having abdominal pain, or noticing minor changes in your body can trigger fears of cancer or other serious conditions, even when medical evaluations indicate otherwise.

The mind-body connection plays a significant role in health anxiety. Stress and anxiety can lead to physical symptoms, which in turn can exacerbate anxiety. This is particularly true in your case, where you mention experiencing symptoms like abdominal pain and oral lesions, which you fear may indicate serious health issues. It’s crucial to understand that while these symptoms can be distressing, they do not necessarily indicate a severe illness, especially when you have undergone thorough medical evaluations that returned normal results.


Coping Strategies
1. Seek Professional Help: Given your ongoing anxiety and its impact on your daily life, it may be beneficial to consult with a mental health professional who specializes in anxiety disorders. Cognitive Behavioral Therapy (CBT) is particularly effective in treating health anxiety. It helps individuals challenge and change unhelpful thoughts and behaviors related to their health concerns.

2. Limit Health Research: While it’s natural to seek information, excessive research can fuel anxiety. Consider setting boundaries on how much time you spend looking up health information. Instead, focus on reliable sources and limit your searches to specific questions you may have.

3. Practice Mindfulness and Relaxation Techniques: Mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce anxiety levels. These techniques encourage you to focus on the present moment rather than worrying about potential health issues.

4. Establish a Routine: A consistent daily routine that includes regular exercise, healthy eating, and adequate sleep can improve your overall well-being. Physical activity, in particular, is known to reduce anxiety and improve mood.

5. Communicate Your Feelings: While you may feel the need to protect your family from your worries, sharing your feelings with someone you trust can provide relief. Whether it’s a friend, family member, or therapist, having a support system can help you feel less isolated in your experiences.

6. Challenge Negative Thoughts: When you find yourself worrying about a specific symptom, try to challenge those thoughts. Ask yourself what evidence you have for and against your fears. Often, you’ll find that the evidence does not support the catastrophic conclusions you may jump to.

7. Set Realistic Health Goals: Instead of focusing on potential illnesses, set positive health goals. This could include regular check-ups, maintaining a balanced diet, or engaging in physical activities that you enjoy. Celebrate small victories in your health journey.

8. Limit Medical Visits: While it’s important to seek medical advice when necessary, frequent visits can reinforce anxiety. Consider establishing a plan with your healthcare provider about when to seek help, and try to adhere to it.


Conclusion
Navigating health anxiety is undoubtedly challenging, especially when compounded by external pressures such as family, work, and financial stress. However, by employing coping strategies and seeking professional support, you can work towards reducing your anxiety and reclaiming a sense of normalcy in your life. Remember, it’s okay to seek help, and you don’t have to face these challenges alone. Your health and well-being are paramount, and taking proactive steps towards managing your anxiety is a significant and commendable first step.

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