I think I have a mental illness?
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 ultrasound where the doctor said it should be a benign enlargement and advised me not to worry too much, I can only maintain my emotional stability for a day or two before I spiral again.
I constantly fear whether it could be lymphoma, whether it will get bigger, and I can't help but repeatedly search for disease information online.
I check my reflection in the mirror and measure the size of the lymph node more than ten times a day, worrying that I might be dying and that there's no hope.
I can hardly concentrate on other important aspects of my life.
I know that my behavior is abnormal, and I've spent a lot of money on medical consultations, but I truly can't control myself from engaging in these behaviors, which has become a vicious cycle.
Should I seek help from a mental health professional? Is there any way to assist me? My days are not happy at all.
Hen Bengkuai de Xiao K, 20~29 year old female. Ask Date: 2019/03/26
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 friends and family are dealing with health issues.
I recommend seeking a professional evaluation from a psychiatrist or psychologist, who can provide appropriate treatment for your symptoms.
Wishing you a speedy recovery! Dr.
Huang Hsiao-Hsien
Reply Date: 2019/03/26
More Info
It sounds like you are experiencing significant health anxiety, which can be incredibly distressing and disruptive to your daily life. Health anxiety, often referred to as hypochondria, involves an excessive preoccupation with having a serious illness, even when medical evaluations suggest otherwise. Your situation, where you have been fixated on a swollen lymph node and have sought multiple medical opinions despite being reassured by healthcare professionals, is a common manifestation of this condition.
The first step in addressing health anxiety is recognizing that it is a legitimate concern that can significantly impact your mental and emotional well-being. It is important to understand that while your fears may feel very real, they often stem from anxiety rather than actual medical issues. The cycle of worry, checking, and seeking reassurance can create a feedback loop that exacerbates your anxiety, making it difficult to focus on other aspects of your life.
Here are some strategies that may help you manage your health anxiety:
1. Limit Internet Searches: One of the most common triggers for health anxiety is searching for symptoms online. This often leads to misinformation and increased anxiety. Try to set boundaries for yourself regarding how much time you spend researching health issues online. Instead, consider discussing your concerns with a trusted healthcare provider.
2. Cognitive Behavioral Therapy (CBT): CBT is a highly effective treatment for health anxiety. It involves identifying and challenging irrational thoughts and beliefs about health and illness. A therapist can help you develop coping strategies and teach you how to reframe your thoughts when you start to feel anxious about your health.
3. Mindfulness and Relaxation Techniques: Practicing mindfulness, meditation, or relaxation exercises can help reduce anxiety. Techniques such as deep breathing, progressive muscle relaxation, or guided imagery can help calm your mind and body. These practices can also help you stay grounded in the present moment rather than getting lost in worries about the future.
4. Set a Worry Time: Allocate a specific time each day to focus on your worries. During this time, allow yourself to think about your health concerns, but once the time is up, redirect your focus to other activities. This can help contain your anxiety and prevent it from taking over your entire day.
5. Seek Professional Help: Given the intensity of your symptoms and the impact on your daily life, it would be beneficial to seek help from a mental health professional. A psychologist or psychiatrist can provide you with the support and tools you need to manage your anxiety effectively. They may recommend therapy, medication, or a combination of both, depending on your specific needs.
6. Engage in Activities You Enjoy: Distracting yourself with hobbies, social activities, or exercise can help shift your focus away from health concerns. Engaging in enjoyable activities can improve your mood and reduce anxiety.
7. Educate Yourself: Sometimes, understanding the nature of health anxiety can help demystify your fears. Learning about the psychological aspects of health anxiety can empower you to recognize when your thoughts are spiraling and help you take steps to manage them.
In conclusion, it is essential to acknowledge that your health anxiety is a serious issue that deserves attention. Seeking help from a mental health professional can provide you with the support and strategies needed to regain control over your thoughts and feelings. Remember, you are not alone in this struggle, and with the right tools and support, it is possible to find relief and improve your quality of life.
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