Health Anxiety: Coping with Fear of Illness After CT Scans - Psychiatry

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Do I have "hypochondria"?


Hello Dr.
Sun,
Last year, I underwent a pelvic CT scan due to pelvic pain, and the results were normal.
However, after returning home, I learned online that CT scans may increase the risk of cancer.
Since then, I have been deeply regretting my decision and feeling frustrated with myself for not carefully evaluating the situation before making a choice (as the doctor allowed me to decide whether to proceed with the scan).
Now, whenever I experience any physical discomfort, I suspect it may be due to the CT scan.
I have been experiencing diarrhea for several months, and after undergoing an endoscopy, the doctor said everything was fine, but I can't help but wonder if the CT scan caused issues in other organs leading to my diarrhea.
Recently, my pelvic pain has returned, and I also suspect that my previous normal condition has turned problematic because of the CT scan.

I have researched the likelihood of developing cancer from a CT scan, and it appears to be very low, but I still cannot control my anxious thoughts.
Is this what is referred to as "health anxiety"? I keep telling myself that negative thoughts can exacerbate physical pain, yet I also feel that discomfort often leads to negative thinking.
It feels like a two-sided coin, where each side influences the other.
I have been feeling down for quite some time and am unsure how to proceed.
Could you please advise me on methods to stop overthinking, or how to face my physical discomfort with more calmness? Thank you for your guidance.

nini, 50~59 year old female. Ask Date: 2021/03/18

Dr. Liang Sunyuan reply Psychiatry


Hello: Since the situation has already occurred, regretting it is of no use.
As you mentioned, a CT scan is safe, and there is no need to worry excessively.
On the other hand, if you had not undergone the CT scan, you might have continued to worry about potential issues with your pelvis, leading to another form of psychological stress.
The decision to undergo testing is not necessarily a bad choice.
Indecision and excessive worry about life events can be symptoms associated with depression and anxiety, so it may be worth examining whether you have symptoms of depression or anxiety.
I recommend refocusing on daily life and spending your valuable time on people, activities, and things that help you relax.
The human body has a natural ability to heal itself; the more relaxed and positive your mindset, the better your recovery capacity.
Exercise is also a very effective method.
If symptoms persist and do not improve, seeking medical assistance is advisable.
Wishing you all the best.

Reply Date: 2021/03/18

More Info


Hello,
Thank you for sharing your experience, and I can understand how distressing it must be to deal with health anxiety, especially after undergoing medical procedures like a CT scan. Your concerns about the potential risks associated with imaging tests, such as radiation exposure and the fear of developing cancer, are common among individuals who experience health anxiety, also known as illness anxiety disorder.

Health anxiety often manifests as excessive worry about having a serious illness, despite medical evaluations showing no significant findings. In your case, the CT scan you underwent for pelvic pain has led to a cycle of negative thoughts and fears about your health. This is a classic example of how anxiety can distort our perception of health and lead to a vicious cycle of worry and physical symptoms.

It's important to recognize that while medical imaging, including CT scans, does involve exposure to radiation, the risk of developing cancer from a single scan is generally very low. The benefits of obtaining critical diagnostic information often outweigh the potential risks. However, your feelings of regret and anxiety are valid and deserve attention.

Here are some strategies that may help you cope with your health anxiety and the fear of illness:
1. Cognitive Behavioral Therapy (CBT): This is a highly effective treatment for health anxiety. CBT helps you identify and challenge negative thought patterns and beliefs about your health. A therapist can guide you through exercises that help you reframe your thoughts and reduce anxiety.

2. Mindfulness and Relaxation Techniques: Practicing mindfulness can help you stay grounded in the present moment and reduce the tendency to ruminate on negative thoughts. Techniques such as deep breathing, meditation, and progressive muscle relaxation can help alleviate anxiety symptoms.

3. Limit Health-Related Research: While it’s natural to seek information, excessive research can exacerbate anxiety. Try to set boundaries on how much time you spend looking up health information online. Instead, focus on reliable sources and limit your research to specific questions you may have.

4. Focus on What You Can Control: Instead of worrying about potential future illnesses, focus on maintaining a healthy lifestyle. This includes regular exercise, a balanced diet, adequate sleep, and stress management techniques. Engaging in activities that promote well-being can help shift your focus away from anxiety.

5. Seek Support: Talking to friends, family, or a support group can provide comfort and understanding. Sharing your feelings with others who have similar experiences can help you feel less isolated.

6. Professional Help: If your anxiety continues to interfere with your daily life, consider seeking help from a mental health professional. They can provide tailored strategies and support to help you manage your anxiety effectively.

7. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process your emotions. It can help you identify triggers for your anxiety and track your progress over time.

8. Accept Uncertainty: Learning to accept that uncertainty is a part of life can be liberating. It’s okay not to have all the answers about your health. Focus on living in the moment rather than worrying about what might happen in the future.

In conclusion, health anxiety can be a challenging condition, but with the right strategies and support, it is possible to manage your fears and improve your quality of life. Remember that you are not alone in this experience, and seeking help is a positive step toward healing. If you find that your anxiety persists or worsens, please consider reaching out to a mental health professional for further assistance.

Take care, and I wish you all the best on your journey to better mental health.

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