Health Anxiety: Coping with Worries About Illness - Psychiatry

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Health anxiety concerns


Hello Doctor: I have been experiencing health anxiety for the past three months.
Since July, I have had chest tightness and pain (especially on the left side of my chest; I previously asked a question on Taiwan's e-hospital).
I have been Googling my symptoms to figure out what might be wrong, and I still occasionally feel some pain, which makes me worry about heart disease.
Last week, after getting up from the air conditioning, I started having a sore and swollen throat, and I have phlegm after meals.
Eating hot food makes me have a runny nose.
In the past few days, I've also started having headaches; at first, I thought it was a cold or due to not drying my hair after washing it.
I researched online and self-diagnosed myself with migraines.
Additionally, a few days ago, I often had stomach pain and diarrhea after breakfast, and I noticed that my stomach makes noises at night (but I don't feel hungry) and I have bowel movements about three to four times a day.
I often cry secretly at night, feeling hopeless, and I've even had thoughts of self-harm.
My academic performance has also been affected; I find it hard to concentrate in class and often think about what would happen if I accidentally passed away in my sleep one day.
I really wish I could be healthier.
I still feel weak and believe I have many illnesses, and I want to get a full health check-up.
I regret not listening to my parents.
Recently, I've been searching for information about feeling like I have many illnesses, and I wonder if I might have hypochondria.
Am I overthinking this? I have considered seeking psychological counseling but am hesitant to tell my parents.
I think I will try to manage this on my own for now; if I feel better in the coming days, I will try to ignore it.
Thank you, Doctor, for your patient response.
I appreciate your hard work ❤️

Zoe, 10~19 year old female. Ask Date: 2023/09/08

Dr. Lin Mianzhang reply Psychiatry


Hello Zoe: It seems that you are experiencing a lot of physical discomfort.
I recommend that you first visit an internal medicine or family medicine specialist to assess whether there are any underlying health issues.
If the physician examines you and arranges for tests, and all results come back normal, it may be due to factors such as stress or emotional issues causing these physical symptoms.
At that point, you can ask the physician for a referral to a psychosomatic medicine specialist.
With a physician's referral, your family is likely to better understand that you need assistance in this area.
Take care! Wishing you peace and good health!

Reply Date: 2023/09/08

More Info


Health anxiety, often referred to as illness anxiety disorder, is a condition where individuals experience excessive worry about having a serious illness, despite having little or no medical evidence to support their fears. This anxiety can manifest in various ways, including frequent visits to healthcare providers, obsessive research about symptoms online, and a constant preoccupation with health-related issues. Your experiences over the past few months, including chest pain, throat discomfort, and gastrointestinal issues, are common among those struggling with health anxiety.

Firstly, it’s important to recognize that your feelings are valid. The fear of serious illness can be overwhelming and can significantly impact your daily life, as you've described. The physical symptoms you are experiencing, such as chest pain and headaches, can often be exacerbated by anxiety itself. Stress and anxiety can lead to muscle tension and other physical manifestations that might mimic serious health conditions. This cycle of anxiety leading to physical symptoms, which in turn leads to more anxiety, is a common pattern in health anxiety.

One effective way to cope with health anxiety is through cognitive-behavioral therapy (CBT). CBT focuses on identifying and challenging irrational thoughts and beliefs about health and illness. For instance, when you find yourself Googling symptoms or diagnosing yourself with conditions like migraines or gastrointestinal disorders, CBT can help you recognize these behaviors as part of your anxiety and teach you healthier coping mechanisms. Keeping a journal, as you mentioned, can also be a helpful tool. Documenting your thoughts, feelings, and physical sensations can provide insight into patterns and triggers, allowing you to address them more effectively.

Mindfulness and relaxation techniques can also be beneficial. Practices such as deep breathing, meditation, and progressive muscle relaxation can help reduce anxiety levels and promote a sense of calm. These techniques can be particularly useful when you feel overwhelmed by health concerns. Engaging in regular physical activity can also improve your mood and reduce anxiety, as exercise releases endorphins, which are natural mood lifters.

It’s essential to maintain open communication with your healthcare providers. If you feel that your symptoms are persistent or worsening, it’s crucial to seek medical advice. However, it’s equally important to establish boundaries around your health-related research. Limiting the time spent searching for symptoms online can help reduce anxiety. Consider setting specific times for checking your health concerns and then engaging in other activities that bring you joy or relaxation.

If you are considering therapy but feel hesitant to discuss it with your parents, remember that seeking help is a sign of strength, not weakness. Many therapists specialize in health anxiety and can provide you with the tools to manage your fears effectively. If you feel comfortable, you might consider discussing your feelings with a trusted friend or family member who can support you in seeking professional help.

Lastly, it’s crucial to address any thoughts of self-harm or suicidal ideation seriously. If you ever feel overwhelmed to the point of considering self-harm, please reach out to a mental health professional or a crisis hotline immediately. Your well-being is paramount, and there are people who want to help you through this difficult time.

In conclusion, coping with health anxiety involves a combination of self-awareness, professional support, and practical coping strategies. By addressing your thoughts and feelings, engaging in mindfulness practices, and seeking help when needed, you can work towards reducing your anxiety and improving your overall quality of life. Remember, you are not alone in this journey, and there are resources available to help you navigate your concerns.

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