Health Anxiety: Coping with Fear of Illness - Psychiatry

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Health anxiety is very severe?


Hello, doctor.
I'm not sure when it started, but it seems that during my time waiting to enter university, I became more anxious than usual, especially since I tend to overthink.

1.
Sometimes, when I see news reports about certain cancers, I start to doubt whether I have the same cancer.
I even think that perhaps this report is a reminder from above.
After reading about the symptoms, I feel like my body starts to exhibit similar signs, which makes me even more anxious.
It's not just about myself; I also worry about my family.
Even minor symptoms in them lead me to think about cancer.
2.
I have developed swollen lymph nodes, and when I consulted a doctor, they said it was due to facial inflammation.
However, I can't help but wonder if the doctor misdiagnosed it and if it could actually be lymphoma! Recently, I have another lymph node that is about the size of a green bean.
Deep down, I know it's caused by the same issue, but I still feel very anxious.
3.
Recently, I've been extremely troubled by stomach pain (sometimes accompanied by back pain).
When I heard that a friend's classmate was diagnosed with stomach cancer, I was shocked that someone so young could have it.
I started researching the symptoms of stomach cancer, and gradually, I began to experience stomach pain myself.
I noticed similar symptoms and often pressed on my epigastric area, which causes pain.
The more I press, the more it hurts! I even press the same spot on my friends to see if they feel pain, and if they say "no," I become anxious about why I am in pain.
However, I realize that if I focus on chatting with someone or concentrate on something else, the pain disappears.

Doctor, is this a case of psychological influence on my physiology? It seems that if I keep thinking about it, I feel pain, but if I don't think about it, the pain goes away.

CC, 10~19 year old female. Ask Date: 2020/08/28

Dr. Huang Xiaoxian reply Psychiatry


Dear cc, I can sense that you are feeling quite troubled by the situation described above.
You find yourself constantly thinking about the possibility of cancer.
Although rationally you know it may not happen, emotionally you fear that "what if" it does occur to you.
Research suggests that this may be due to fluctuations in neurotransmitters in the brain related to mood, indicating a connection between physiological and psychological factors.
Your symptoms are quite typical of anxiety disorders.
I recommend that you seek further evaluation at a psychosomatic medicine clinic for appropriate treatment.
Wishing you all the best.

Reply Date: 2020/08/28

More Info


Health anxiety, often referred to as illness anxiety disorder, is a condition where individuals experience excessive worry about having a serious illness, despite having little or no medical evidence to support their fears. This anxiety can manifest in various ways, including the constant need for reassurance from healthcare professionals, frequent self-examinations, and an overwhelming focus on bodily sensations. Your description of your experiences aligns closely with this condition, and it’s important to understand both the psychological and physiological aspects involved.

Firstly, it’s crucial to recognize that anxiety can significantly influence how we perceive physical sensations. When you read about a disease, such as cancer, your mind may start to associate any minor discomfort or symptom with that illness. This is a common cognitive distortion known as "catastrophizing," where one assumes the worst possible outcome from a situation. For example, if you feel a slight pain in your abdomen, your mind may jump to the conclusion that it could be a sign of something serious, like cancer, rather than considering more benign explanations.

The connection between mind and body is well-documented in medical literature. Psychological stress and anxiety can lead to physical symptoms, a phenomenon often referred to as psychosomatic symptoms. In your case, the stomach pain and back pain you experience may be exacerbated by your anxiety. When you focus intensely on a particular area of your body, you may become more aware of sensations that you would typically ignore, leading to increased discomfort. This is why you may find that when you are engaged in conversation or focused on another task, the pain diminishes; your mind is distracted from the anxiety-provoking thoughts.

To cope with health anxiety, several strategies can be beneficial:
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 and illness. A therapist can guide you through this process, helping you develop healthier thinking patterns.

2. Mindfulness and Relaxation Techniques: Practices such as 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.

3. Limit Health-Related Research: While it’s natural to seek information, excessive research can fuel anxiety. Try to set boundaries on how much time you spend reading about health issues online. Instead, consider consulting with a healthcare professional for reliable information.

4. Physical Activity: Regular exercise can significantly reduce anxiety levels. Physical activity releases endorphins, which are natural mood lifters. Engaging in activities you enjoy can also serve as a distraction from anxious thoughts.

5. Seek Professional Help: If your anxiety continues to interfere with your daily life, it may be beneficial to consult a mental health professional. They can provide tailored strategies and, if necessary, discuss medication options that can help manage anxiety symptoms.

6. Focus on Self-Care: Ensure you are taking care of your overall well-being. This includes maintaining a balanced diet, getting enough sleep, and fostering social connections. Engaging in hobbies and activities that bring you joy can also help shift your focus away from health concerns.

In conclusion, your experiences with health anxiety are not uncommon, and there are effective strategies to help manage these feelings. Understanding the mind-body connection can empower you to take control of your anxiety rather than allowing it to dictate your life. Remember, it’s okay to seek help, and taking proactive steps toward managing your anxiety can lead to a healthier, more fulfilling life.

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