Overcoming Health Anxiety: Coping with Persistent Worries About Illness - Psychiatry

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I am very worried that I might be sick?


Hello, Doctor.
I know that I am a very pessimistic person.
Since I discovered breast lactation last September, I have been very anxious about whether I have cancer.
However, after blood tests and an ultrasound, the doctor said I was normal and that the lactation was just due to hormonal imbalance.
Since then, I have started to worry every day about my health.
Especially after I developed gastroenteritis, I have been going in and out of the hospital once or twice a week on average, undergoing many tests, having blood drawn five or six times, switching doctors two or three times, getting ultrasounds, and testing for occult blood in my stool.
Finally, the doctor diagnosed me with diverticulitis, but I am still very concerned about colon cancer.
Whenever I experience constipation or changes in my bowel habits, I worry that something is wrong.
My gastrointestinal issues are not resolved, and now my salivary glands are inflamed.
I can feel many lymph nodes in my neck, and when I search online, it only increases my anxiety about cancer.
For several months, I have been visiting the ENT department twice a week, changing doctors three times, undergoing CT scans, and having blood tests, to the point where I even went to see a hematologist, only to be referred back to ENT.
Eventually, I had an endoscopy and a fine needle aspiration ultrasound at the Veterans General Hospital, where they said they would biopsy the lymph nodes.
Both doctors at the hospital said my lymph nodes were normal.
The biopsy results were also normal, and during the procedure, the doctor was confused about which lymph node was swollen.
They didn't even prescribe any medication and let me go.
I have been anxious about my lymph nodes, gastrointestinal issues, and breast lactation for over six months.
Even now, I can still feel the lymph nodes, and I am very worried about my gastrointestinal health, and my breasts are still lactating.
Sometimes, I really can't take it anymore and go to a nearby clinic to get checked, but every doctor refunds my consultation fee and tells me not to worry.
I know I should trust the doctors' judgment, but I also know that something is wrong with my body.
I often feel so anxious in public that I lose my sense of reality and feel exhausted, sometimes resorting to banging my head against the wall in the restroom or cutting my hand with a utility knife, contemplating suicide while looking at the balcony.
I really don't want to die, but I am so tired from the anxiety.
I am very afraid of getting cancer and other diseases; I don't know how to deal with the abnormalities in my body or how to return to a normal life.
Just seeing breast lactation makes me anxious, and touching my neck triggers more anxiety.
I have seen traditional Chinese medicine practitioners who only tell me that my emotions are related to hormonal balance, but I can't control my thoughts.
If I have a bruise, I think it's leukemia; if my stomach hurts, I think it's colon cancer; and if I lactate, I think it's breast cancer, even though the ultrasound showed I don't even have fibrocystic changes.
If I have a mouth sore that lasts more than three days, I worry it's oral cancer.
Searching online only increases my anxiety; I try to convince myself not to look it up, but I end up searching anyway, feeling anxious whether I check or not.
I really don't know what to do anymore.

Jane, 20~29 year old female. Ask Date: 2021/02/16

Dr. Wang Yaoting reply Psychiatry


Hello: It seems that you are very anxious about your physical condition, and this period must have been quite uncomfortable for you.
Generally speaking, being concerned about bodily ailments is essential for maintaining health.
However, if you are excessively worried about your health, focusing entirely on health issues, and continuously fearing that you have or may develop a serious illness, to the point that it affects your daily functioning, this situation may be what is known as "health anxiety" or "hypochondriasis." I recommend that you seek help from a psychiatrist as soon as possible.
With appropriate medication and psychotherapy, your anxiety can significantly improve.
I hope this answers your question :)

Reply Date: 2021/02/16

More Info


Overcoming health anxiety can be a challenging journey, especially when persistent worries about illness dominate your thoughts and daily life. Your experience reflects a common struggle faced by many individuals who find themselves caught in a cycle of fear and anxiety regarding their health. It's important to recognize that these feelings are valid and that you are not alone in this battle.

Health anxiety, often referred to as hypochondria, can manifest in various ways, including excessive worry about having a serious illness despite medical reassurance. This condition can lead to frequent visits to healthcare providers, unnecessary tests, and a constant state of fear regarding bodily sensations. The cycle of anxiety can be exacerbated by the internet, where searching for symptoms often leads to alarming information that fuels further worry.

In your case, the initial concern about breast lactation and subsequent gastrointestinal issues seem to have triggered a heightened state of anxiety. The repeated medical evaluations and the reassurance from healthcare professionals that everything is normal may not have alleviated your fears. This is a common phenomenon in health anxiety, where reassurance often fails to provide lasting relief.

To cope with persistent worries about illness, consider the following strategies:
1. Cognitive Behavioral Therapy (CBT): This therapeutic approach is effective in treating health anxiety. CBT helps individuals identify and challenge irrational thoughts and beliefs about their health. Working with a therapist, you can learn to reframe your thinking patterns and develop healthier coping mechanisms.

2. Mindfulness and Relaxation Techniques: Practicing mindfulness can help you stay grounded in the present moment and reduce anxiety. Techniques such as deep breathing, meditation, and progressive muscle relaxation can help calm your mind and body. Engaging in regular physical activity can also alleviate stress and improve your overall well-being.

3. Limit Health-Related Research: While it may be tempting to search for information about your symptoms online, this often leads to increased anxiety. Set boundaries for yourself regarding how much time you spend researching health issues. Instead, focus on activities that bring you joy and distract you from anxious thoughts.

4. Establish a Support System: Share your feelings with trusted friends or family members who can provide emotional support. Sometimes, simply talking about your fears can help alleviate some of the burden. Consider joining a support group where you can connect with others who understand what you're going through.

5. Professional Help: If your anxiety continues to interfere with your daily life, seeking help from a mental health professional is crucial. A psychiatrist or psychologist can provide tailored treatment options, including therapy and medication if necessary. It's essential to address both the psychological and physiological aspects of your anxiety.

6. Focus on Self-Care: Prioritize self-care activities that promote relaxation and well-being. This can include engaging in hobbies, spending time in nature, practicing good sleep hygiene, and maintaining a balanced diet. Taking care of your physical health can positively impact your mental health.

7. Challenge Catastrophic Thinking: When you notice yourself jumping to worst-case scenarios, practice challenging those thoughts. Ask yourself what evidence supports these fears and consider alternative, less frightening explanations for your symptoms.

8. Set Realistic Goals: Instead of striving for complete elimination of anxiety, aim for gradual improvement. Celebrate small victories, such as going a day without excessive worry or engaging in a social activity despite your fears.

It's important to remember that recovery from health anxiety is a process that takes time. Be patient with yourself as you work through these feelings. Acknowledge your progress, no matter how small, and continue to seek support from professionals and loved ones. Your health and well-being are worth the effort, and with the right tools and support, you can regain control over your life and reduce the grip of health anxiety.

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