Is it hypochondriasis?
Hello Doctor, I once went singing with a friend who returned from Japan, and while we were in the car, an older man behind me coughed without wearing a mask.
Since that incident, I've felt like I might have a fever and experienced some shortness of breath and chest tightness.
I've often used an ear thermometer to check my temperature, feeling quite anxious.
After that, due to possibly having an irregular lifestyle, staying up late, or being awake all night, I started experiencing eye twitching, which progressed to muscle twitching throughout my body.
By around June, it became less frequent, occurring occasionally or in one specific area.
During this time, I kept experiencing symptoms and researched them online, leading me to wonder if I might have motor neuron disease.
Recently, I’ve been feeling persistently dizzy, and my coordination while walking has been off, with some weakness in my limbs, making me suspect I might have cerebellar atrophy.
However, there is no family history of rare neurological diseases, and the likelihood is very low.
Since April, I have been continuously checking the sources of these symptoms.
Recently, my blood test results showed slightly elevated calcium levels, so I started investigating whether this could be causing my dizziness or if there might be another reason.
I also began to worry that it could be related to kidney issues, so I’ve been drinking a lot of water, fearing kidney stones or the need for dialysis to improve kidney function.
It’s really exhausting, and I’m considering paying out of pocket for tests to check for cerebellar atrophy because I feel so dizzy and worried.
shang dian, 20~29 year old female. Ask Date: 2020/07/16
Dr. Huang Xiaoxian reply Psychiatry
Dear Summit, thank you for your question.
It sounds like you have been feeling anxious about your body lately, to a degree that seems unreasonable.
At times, the brain regions that regulate our anxiety and fear can send strong signals, making it difficult to use rational judgment or process emotions.
There are many factors that contribute to this, and part of it may stem from stressors in daily life.
I recommend that you seek evaluation and treatment from a mental health professional to address your concerns.
Wishing you all the best.
Reply Date: 2020/07/16
More Info
Health anxiety, often referred to as illness anxiety disorder, is characterized by excessive worry about having a serious illness despite having little or no medical evidence to support such concerns. This condition can lead to significant distress and impairment in daily functioning. Your experience reflects a common pattern seen in individuals with health anxiety, where minor physical sensations or changes in the body are interpreted as signs of severe illness.
From your description, it seems that your anxiety began after a specific incident where you felt exposed to a potential illness. This is a typical trigger for health anxiety, as individuals often link their physical sensations to a perceived threat. The subsequent symptoms you experienced, such as chest tightness, shortness of breath, and muscle twitching, can be manifestations of anxiety itself. Anxiety can produce a range of physical symptoms, including increased heart rate, muscle tension, and gastrointestinal disturbances, which can further exacerbate the cycle of worry.
The act of frequently checking your temperature and researching symptoms online can provide temporary reassurance but often leads to increased anxiety in the long run. This behavior is known as "catastrophizing," where individuals jump to the worst-case scenario based on minimal evidence. For instance, your concerns about developing conditions like motor neuron disease or cerebellar atrophy, despite the lack of family history or significant risk factors, illustrate how anxiety can distort perception and lead to irrational fears.
It's also important to note that lifestyle factors, such as irregular sleep patterns and stress, can contribute to physical symptoms. Sleep deprivation can lead to fatigue, muscle twitching, and cognitive difficulties, which may further fuel your anxiety about your health. The high calcium levels noted in your blood tests could be a result of various benign conditions, but the anxiety surrounding this finding can lead to excessive worry about serious conditions like kidney failure.
To address health anxiety, consider the following strategies:
1. Cognitive Behavioral Therapy (CBT): This is a highly effective treatment for health anxiety. CBT helps individuals identify and challenge irrational thoughts and beliefs about health, replacing them with more balanced and realistic perspectives.
2. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce anxiety levels and improve your overall sense of well-being.
3. Limit Health-Related Research: Try to set boundaries on how much time you spend researching health conditions online. This can help reduce the cycle of anxiety and prevent you from falling into the trap of excessive worry.
4. Regular Check-Ins with a Healthcare Provider: While it’s important to seek medical advice when needed, consider establishing a routine check-up schedule with your doctor. This can provide reassurance and help you avoid the urge to seek unnecessary tests or consultations.
5. Focus on Healthy Lifestyle Choices: Regular exercise, a balanced diet, and adequate sleep can significantly improve your physical and mental health, reducing anxiety symptoms.
6. Seek Support: Talking to a therapist or joining a support group can provide you with tools to manage your anxiety and connect with others who understand what you're going through.
If your symptoms persist or worsen, it may be beneficial to consult a mental health professional who specializes in anxiety disorders. They can help you develop coping strategies tailored to your specific needs and guide you through the process of managing health anxiety effectively. Remember, it's essential to address both the psychological and physical aspects of your health to achieve a balanced state of well-being.
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