Health Anxiety: Can Ignoring Worries Lead to Relief? - Psychiatry

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Illness anxiety disorder


Hello, doctor.
I have issues with health anxiety, such as frequently checking the whites of my eyes for blood vessels or measuring moles on my body every day, which often puts me in a bad mood.
I previously consulted a doctor who mentioned that these are compulsive thoughts and advised me not to pay attention to my bodily symptoms, and to avoid looking in the mirror to check my eyes or measuring moles, suggesting that it would gradually ease over time.
Is this correct? Can these anxious thoughts naturally subside if I ignore them, or will I have to deal with this for the rest of my life? Thank you.

Mai Mai, 30~39 year old female. Ask Date: 2019/11/22

Dr. Wang Yazhen reply Psychiatry


Hello, Mai Mai: As your physician mentioned, this is a case of health anxiety with obsessive thinking.
Generally speaking, if you can replace these persistent thoughts about bodily details with other activities or goals, it may help to redirect and alleviate these thoughts.
As for whether this condition may change in the future, it varies from person to person.
I suggest that you try to remind yourself, especially when you are examining bodily details, to say, "I've seen it, that's enough," or "This isn't a big deal," and then shift your focus to other matters.
Practice this a few times to see if it improves.
If the improvement is limited, I recommend seeking professional assistance, such as cognitive-behavioral therapy, to help address your obsessive thoughts.
Thank you!

Reply Date: 2019/11/22

More Info


Health anxiety, often referred to as illness anxiety disorder, can be a challenging condition that significantly impacts an individual's quality of life. It manifests as an overwhelming fear of having a serious illness, despite medical evaluations showing no significant health issues. This anxiety can lead to compulsive behaviors, such as frequently checking one's body for signs of illness or seeking unnecessary medical tests. Your concerns about your health, such as scrutinizing your eye whites for blood vessels or measuring moles, are common symptoms of this condition.

The advice you received from your doctor regarding ignoring these worries is a common approach in cognitive-behavioral therapy (CBT). CBT is a well-established treatment for health anxiety and focuses on changing the patterns of thinking that contribute to anxiety. The idea is that by not engaging with these anxious thoughts—such as checking your body or seeking reassurance—you can gradually reduce the power these thoughts have over you. This process is often referred to as "exposure therapy," where individuals learn to tolerate the discomfort of uncertainty without resorting to compulsive behaviors.

Ignoring or refraining from engaging with health anxiety does not mean that the worries will simply disappear overnight. Instead, it requires consistent practice and patience. Over time, as you learn to resist the urge to check or seek reassurance, you may find that the intensity and frequency of your anxious thoughts decrease. This is because the brain begins to recognize that the feared outcomes are unlikely to occur, and the compulsive behaviors are unnecessary.

However, it's important to acknowledge that health anxiety can be persistent and may not resolve on its own. Many individuals find that they need additional support to manage their anxiety effectively. This can include therapy, such as CBT, which can provide you with tools to cope with your anxiety and challenge irrational thoughts. In some cases, medication may also be considered to help manage anxiety symptoms, but this should be discussed with a healthcare provider.

In addition to professional help, there are several self-care strategies you can incorporate into your daily routine to help alleviate health anxiety:
1. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce anxiety levels and promote a sense of calm.

2. Limit Health-Related Research: Try to set boundaries on how much time you spend researching health symptoms online. The internet can often exacerbate anxiety by presenting alarming information that may not apply to your situation.

3. Engage in Healthy Distractions: Find activities that you enjoy and that can take your mind off your worries. This could be hobbies, exercise, or spending time with friends and family.

4. Journaling: Writing down your thoughts and feelings can help you process your anxiety and identify patterns in your thinking that may contribute to your health concerns.

5. Establish a Support System: Talk to friends or family members about your feelings. Sometimes, just sharing your worries can help alleviate some of the burden.

6. Seek Professional Help: If your anxiety continues to interfere with your daily life, consider reaching out to a mental health professional who specializes in anxiety disorders. They can provide tailored strategies and support.

In conclusion, while ignoring health anxiety can lead to relief over time, it often requires a multifaceted approach that includes professional support, self-care strategies, and patience. You are not alone in this struggle, and with the right tools and support, it is possible to manage health anxiety effectively and improve your overall well-being.

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