Health Anxiety: Coping with Intrusive Thoughts After Childbirth - Psychiatry

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It sounds like you are experiencing significant health anxiety, which is often exacerbated by the stress of motherhood and the changes that come with it. Your concerns about your body and the compulsive checking behaviors you describe are common among individuals who struggle with anxiety, particularly after major life changes such as childbirth.
Health anxiety, also known as hypochondria, involves excessive worry about having a serious illness, even when medical evaluations suggest otherwise. This can lead to compulsive behaviors, such as repeatedly checking your body for signs of illness or seeking reassurance from medical professionals. In your case, the behaviors you describe—like checking your salivary glands, measuring moles, or inspecting your eyes—are indicative of compulsive thought patterns that can be associated with obsessive-compulsive disorder (OCD).

Your husband's perspective is valid; he emphasizes that self-checking is often unproductive and can lead to a cycle of anxiety. This aligns with the understanding that compulsive checking behaviors can provide temporary relief but ultimately reinforce the anxiety, making it worse over time. The more you check, the more you feel the need to check again, creating a vicious cycle.

You mentioned that you have tried counseling for nearly two years, which is a positive step. Therapy, particularly cognitive-behavioral therapy (CBT), is often effective for health anxiety and OCD. CBT focuses on identifying and challenging irrational thoughts and beliefs, helping you to develop healthier coping mechanisms. It sounds like you have made progress in resisting the urge to check, which is commendable. However, the intrusive thoughts still seem to be a significant source of distress for you.

Regarding medication, it can be beneficial for some individuals with health anxiety or OCD. Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed and can help reduce the intensity of intrusive thoughts and compulsive behaviors. However, the decision to start medication should be made in consultation with a healthcare provider who can assess your specific situation and discuss potential benefits and side effects.

It's also important to recognize that these intrusive thoughts are not necessarily reflective of reality. They are often exaggerated fears that can be viewed as "false alarms." Practicing mindfulness and grounding techniques can help you manage these thoughts when they arise. For instance, when you feel the urge to check, try to acknowledge the thought without acting on it. Remind yourself that the thought is just a thought, not a fact. This can help reduce the power these thoughts have over you.

Additionally, engaging in activities that promote relaxation and distraction can be beneficial. Exercise, meditation, and spending time with loved ones can help shift your focus away from your worries. It may also be helpful to establish a routine that includes self-care practices, which can improve your overall mental health.

In summary, while medication may be a helpful option for you, it's essential to continue working with a mental health professional to address your health anxiety. You have already made significant strides in managing your compulsive behaviors, and with continued support and the right strategies, you can work towards regaining a sense of normalcy in your life. Remember, it's okay to seek help and take the time you need to heal.