Overcoming Anxiety About Physical Health: A Guide for Patients - Psychiatry

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Anxiety about one's body?


Hello, doctor.
Recently, I feel that my anxiety has been getting worse, and I don't know what to do.
Since mid-September this year, I have seen doctors more than twenty times for issues related to breast lactation, gastrointestinal problems, and throat concerns, averaging once a week.
I have undergone breast ultrasound, abdominal ultrasound, fecal occult blood tests, neck CT scans, laryngoscopy, and ultrasound-guided fine needle aspiration of lymph nodes.
All the tests came back normal; there were no abnormalities in the breast, the abdominal diverticulitis has resolved, the CT scan only showed lymph nodes, the laryngoscopy was normal, and the fine needle aspiration was benign.
However, I am still very anxious about the lump I can feel in my neck.
I have changed doctors three times, two of whom are ENT specialists from Taichung Veterans General Hospital, and they all said there is nothing to worry about.
But I can still feel it.
They told me that as long as it doesn't grow or multiply, I shouldn't be concerned.
Yet, I am starting to worry that it might increase in size, and I find myself constantly checking my neck for any new lumps.
Occasionally, I suddenly burst into tears and have even scratched myself with a sharp object, but not deeply—just superficial scratches to distract myself.
I really don’t know what to do.
My mind tells me that since all the tests have been done, everything should be fine, but at the same time, I feel like I might have a serious illness that hasn't been detected.
I truly don't know what to do.

A, 20~29 year old female. Ask Date: 2020/12/30

Dr. Lin Mianzhang reply Psychiatry


Hello: Your situation is similar to illness anxiety disorder, previously known as hypochondriasis (although strictly speaking, based on diagnostic criteria, your condition has not yet lasted for more than six months, so this diagnosis cannot be made).
You mentioned that you started experiencing anxiety in mid-September.
I wonder if there were any changes in your life before the onset of anxiety symptoms? For example, did you encounter any stressors? Did any friends or family members become ill? Have there been any changes in your relationships with family or friends? These various stressors or interpersonal relationship issues could potentially trigger excessive anxiety about your health.
The anxiety regarding your health is merely a surface phenomenon; it is essential to explore the underlying causes of this phenomenon in order to address the root issues effectively.
I recommend that you seek care from a mental health professional for a thorough evaluation, which can help you recover your health more quickly.
Wishing you a speedy recovery.

Reply Date: 2020/12/30

More Info


Dealing with anxiety about physical health can be incredibly challenging, especially when it leads to a cycle of excessive worry and repeated medical consultations. Your situation reflects a common experience among individuals who struggle with health anxiety, often characterized by persistent fears of having a serious illness despite medical reassurance. Here are some strategies to help you manage your anxiety and regain a sense of control over your health and well-being.


Understanding Health Anxiety
Health anxiety, also known as hypochondria, involves an excessive preoccupation with having a serious illness. This can manifest in various ways, including frequent doctor visits, constant self-examination, and an overwhelming fear of symptoms that may be benign. It's important to recognize that this anxiety is real and can significantly impact your quality of life, even if medical tests show no serious issues.


Strategies for Overcoming Health Anxiety
1. Cognitive Behavioral Therapy (CBT): One of the most effective treatments for health anxiety is CBT, which helps you identify and challenge irrational thoughts and beliefs about your health. A trained therapist can guide you through this process, helping you develop healthier thinking patterns and coping strategies.

2. Mindfulness and Relaxation Techniques: Practicing mindfulness can help you stay grounded in the present moment rather than getting lost in worries about the future. Techniques such as deep breathing, meditation, and progressive muscle relaxation can reduce anxiety and promote a sense of calm.

3. Limit Health-Related Research: Constantly searching for information about symptoms online can exacerbate anxiety. Try to limit your internet searches about health issues and focus on reliable sources when you need information. Instead, redirect your attention to activities that bring you joy or relaxation.

4. Establish a Routine: Creating a daily routine that includes time for self-care, exercise, and social interactions can help you feel more balanced. Regular physical activity is particularly beneficial for reducing anxiety and improving mood.

5. Talk About Your Feelings: Sharing your concerns with trusted friends or family members can provide emotional support. Sometimes, just talking about your fears can help alleviate some of the burden.

6. Consider Professional Help: If your anxiety continues to interfere with your daily life, it may be beneficial to seek help from a mental health professional. They can provide you with tailored strategies and possibly recommend medication if necessary.

7. Focus on What You Can Control: While you may not be able to control your health anxiety, you can control how you respond to it. Focus on maintaining a healthy lifestyle, including a balanced diet, regular exercise, and sufficient sleep.

8. Set Boundaries for Medical Visits: It may be helpful to limit the frequency of your medical appointments. Consider scheduling a follow-up visit only if you notice new symptoms or if your current concerns significantly worsen. This can help break the cycle of constant worry.

9. Journaling: Keeping a journal can be a therapeutic way to express your thoughts and feelings. Writing about your experiences can help you process your emotions and identify patterns in your anxiety.


Conclusion
It's essential to acknowledge that overcoming health anxiety is a process that takes time and effort. Be patient with yourself as you work through these strategies. Remember that you are not alone in this struggle, and seeking help is a sign of strength. By implementing these techniques and possibly working with a mental health professional, you can learn to manage your anxiety and improve your overall well-being. If you find yourself in crisis or feeling overwhelmed, please reach out to a mental health professional or a crisis hotline for immediate support.

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