Managing Anxiety: When Worrying About Health Becomes Overwhelming - Psychiatry

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Worry and anxiety?


Hello, I was diagnosed with mitral valve prolapse during a previous hospital examination, and since then, I have been constantly worried that there might be other undetected issues with my health.
I often magnify minor ailments and fear that I might have cancer or something serious.
I don't dare to talk to my family about it (I mentioned it before, and they said I was overthinking).
As a result, I frequently worry that I might be dying.
It seems that because of my constant worrying, I had a dream where someone told me I was going to die.
When I looked up the meaning of the dream, it suggested that my mental state might be weak (something along those lines).
I keep having thoughts that I might be close to death, which makes me very anxious and worried.
Should I see a doctor? Thank you.

Chen Xi, 10~19 year old female. Ask Date: 2022/02/12

Dr. Wu Enliang reply Psychiatry


Netizens suggest visiting a psychiatrist (psychosomatic specialist).
Dr.
Wu Enliang.

Reply Date: 2022/02/12

More Info


It sounds like you are experiencing significant anxiety related to your health, particularly following the diagnosis of mitral valve prolapse. This condition, while often manageable, can understandably lead to heightened awareness and concern about your overall health. Your worries about potential undiagnosed issues, such as cancer, and the fear of death are common among individuals who experience health anxiety, also known as illness anxiety disorder.

Health anxiety can manifest in various ways, including excessive worry about minor physical symptoms, frequent medical consultations, and a tendency to catastrophize health-related issues. This can lead to a cycle of anxiety where the more you worry, the more physical symptoms you may experience, which in turn fuels further anxiety. The dreams you mentioned, where you feel you are being told you are going to die, can be a reflection of your subconscious fears and stress.

Here are some strategies that may help you manage your anxiety:
1. Acknowledge Your Feelings: It's important to recognize that your feelings of anxiety are valid. Many people experience similar fears, especially after a health diagnosis. Acknowledging your feelings can be the first step toward managing them.

2. Limit Health-Related Research: While it’s natural to seek information about your health, excessive research can lead to increased anxiety. Try to limit the time you spend searching for health information online, as this can often lead to misinterpretation and unnecessary worry.

3. Practice Mindfulness and Relaxation Techniques: Techniques such as deep breathing, meditation, and progressive muscle relaxation can help reduce anxiety. These practices can help calm your mind and body, making it easier to cope with anxious thoughts.

4. Cognitive Behavioral Therapy (CBT): This form of therapy is effective for treating anxiety disorders, including health anxiety. CBT helps you identify and challenge negative thought patterns and replace them with more balanced and realistic thoughts. A therapist can guide you through this process.

5. Talk to Someone: While you mentioned that your family has dismissed your concerns, it may be helpful to speak with a trusted friend or a mental health professional who can provide support and understanding. Sometimes, just talking about your fears can help alleviate some of the burden.

6. Consider Professional Help: If your anxiety is overwhelming and affecting your daily life, it may be beneficial to consult a mental health professional. They can help you explore your feelings and develop coping strategies tailored to your needs. Medication may also be an option if your anxiety is severe.

7. Focus on What You Can Control: Instead of worrying about what might happen, focus on what you can do to maintain your health. This includes regular check-ups, a balanced diet, exercise, and adequate sleep. Taking proactive steps can help you feel more in control and less anxious.

8. Limit Exposure to Triggers: If certain situations or information exacerbate your anxiety, try to limit your exposure to them. This might include avoiding certain media or conversations that trigger your fears.

In conclusion, it’s essential to take your feelings seriously and seek help if you feel overwhelmed. Health anxiety is a common issue, and you are not alone in your experiences. By implementing some of these strategies and possibly seeking professional guidance, you can work towards managing your anxiety and improving your overall well-being. Remember, taking care of your mental health is just as important as taking care of your physical health.

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