Health anxiety
Hello, doctor.
Ever since my mother's friend passed away from cardiovascular disease last summer, I've been very worried about my health.
Even though I wasn't very close to that person, I've thought about various serious illnesses like heart disease, stroke, brain tumors, leukemia, cancer, and ALS.
This year, I've seen more doctors than I have in the past 16 years combined, but the doctors always say there's nothing wrong.
After visiting the doctor, I might feel okay for a few days, but then I start worrying about other conditions again.
I've had blood tests done twice, and recently I've even considered getting an MRI because I'm very concerned about a brain tumor.
I also have some physical symptoms like diarrhea, numbness all over, headaches, dizziness, and nausea.
Since the beginning of this year, I've been taking antidepressants, and it's almost been a year now, but my condition fluctuates.
Recently, my anxiety has increased even more.
Will I feel this way for the rest of my life? My family is also getting frustrated with me, saying that I'm wasting medical resources and complaining without cause, but I'm genuinely worried and troubled.
They always tell me to lighten up, and all my relatives are very healthy, with no chronic illnesses or cancer.
Why am I the only one feeling this way? Is it because I have low stress tolerance? I've heard that cognitive behavioral therapy combined with medication can be more effective.
Is that true? I'm really close to losing my mind.
Chester, 10~19 year old female. Ask Date: 2020/11/23
Dr. Lin Mianzhang reply Psychiatry
Hello Chester: Thank you for your hard work! It seems that you are experiencing hypochondriasis.
The course of hypochondriasis is typically episodic, with symptom flare-ups related to psychological stress.
The duration of each episode can vary, but many cases show significant improvement over time.
Due to its association with psychological stress, psychotherapy can be beneficial, whether through individual therapy or group therapy.
Group therapy, in particular, often yields better results, as the support from group members can help you challenge some of your irrational beliefs.
For example, organizations like "Life Adjustment and Love" hold group therapy sessions in Taipei, Taichung, and Kaohsiung, which you might consider.
Medication can also help with symptoms of depression or anxiety.
If you find that the medication you are taking, such as escitalopram, is not effective after a period of use, you should discuss with your physician the possibility of adjusting or changing your medication.
Lastly, experiencing hypochondriasis is related to both inherent predispositions and external stressors; it does not mean that you have low stress tolerance; you may simply have a more sensitive constitution.
But rest assured, this is not a terminal condition.
As long as you are willing to cooperate with medication and psychotherapy, significant improvement is definitely achievable! Wishing you a speedy recovery!
Reply Date: 2020/11/23
More Info
Overcoming health anxiety can be a challenging journey, especially when it stems from a traumatic event or the loss of someone close. Your experience of heightened worry about serious illnesses, despite medical reassurance, is a common manifestation of health anxiety, also known as illness anxiety disorder. This condition can lead to a cycle of excessive worry, frequent doctor visits, and a preoccupation with health that can significantly impact your quality of life.
First, it’s important to understand that health anxiety often arises from a combination of psychological and physiological factors. The fear of illness can be exacerbated by stress, personal experiences, or even the experiences of others, as you've noted with your mother's friend. This can create a heightened sensitivity to bodily sensations, leading to misinterpretation of normal bodily functions as signs of serious illness. For instance, symptoms like headaches, dizziness, or gastrointestinal issues can be easily magnified in the context of health anxiety.
To address your concerns, here are several strategies that may help you manage your health anxiety more effectively:
1. Cognitive Behavioral Therapy (CBT): This is a highly effective treatment for health anxiety. CBT helps you identify and challenge irrational thoughts and beliefs about your health. By reframing these thoughts, you can reduce anxiety and develop healthier coping mechanisms. Working with a therapist who specializes in CBT can provide you with tailored strategies to combat your specific fears.
2. Mindfulness and Relaxation Techniques: Practicing mindfulness can help you stay grounded in the present moment and reduce the tendency to ruminate on health concerns. Techniques such as deep breathing, progressive muscle relaxation, and meditation can help alleviate anxiety symptoms. Regular practice can lead to a greater sense of calm and control over your thoughts.
3. Limit Health-Related Research: While it’s natural to seek information, excessive research about illnesses can fuel anxiety. Try to set boundaries on how much time you spend looking up health information online. Instead, focus on activities that bring you joy or relaxation.
4. Establish a Routine: Creating a daily routine that includes physical activity, social interaction, and hobbies can help distract you from health worries. Engaging in enjoyable activities can improve your mood and reduce anxiety levels.
5. Communicate with Family: It’s essential to communicate openly with your family about your feelings. Let them know that your worries are not a reflection of your relationship with them but rather a struggle with anxiety. This can help them understand your situation better and provide the support you need.
6. Medication: If your anxiety is significantly impacting your daily life, discussing medication options with a healthcare provider may be beneficial. Antidepressants or anti-anxiety medications can help manage symptoms, especially when combined with therapy.
7. Set Realistic Goals: Instead of aiming for complete elimination of anxiety, focus on managing it. Set small, achievable goals for yourself, such as reducing the frequency of doctor visits or limiting health-related discussions.
8. Educate Yourself: Understanding health anxiety can empower you. Learning about the psychological aspects of your condition can help you recognize that your fears are a common response to stress and not necessarily indicative of real health issues.
9. Seek Professional Help: If you find that your anxiety is overwhelming and persistent, seeking help from a mental health professional is crucial. They can provide you with the tools and support necessary to navigate your feelings and develop a healthier relationship with your health.
In conclusion, while it may feel daunting, it is possible to manage health anxiety effectively. By incorporating these strategies into your life and seeking professional support, you can work towards a more balanced and less fearful approach to your health. Remember, you are not alone in this struggle, and with the right tools and support, you can regain control over your thoughts and feelings.
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