Someone with hypochondria might have a stomach ache, for example, and rather than understand it as a reaction to something they ate or a bug, fear that they have stomach cancer or appendicitis. They tend to fear severe illnesses like cancer or HIV, rather than more common health ailments like strep throat or a cold.
Illness anxiety disorder, sometimes called hypochondriasis or health anxiety, is worrying excessively that you are or may become seriously ill. You may have no physical symptoms.
Illness anxiety disorder is a chronic mental illness previously known as hypochondria. People with this disorder have a persistent fear that they have a serious or life-threatening illness despite few or no symptoms. Medications and cognitive behavior therapy (CBT) can help.
A complicated part of being human: living with the knowledge of your own impending death.
Hypochondriasis may occur in an individual who had a childhood illness or had a sibling with a childhood illness. May be related to another psychiatric disorder, such as anxiety or obsessive compulsive disorder. Hypochondriasis may develop from, or be a sign of, one of these other disorders.
Hypochondriac comes ultimately from the Greek word hypokhondria, which literally means “under the cartilage (of the breastbone).” In the late 16th century, when hypochondriac first entered the English language, it referred to the upper abdomen.
Hypochondria can trigger symptoms associated with anxiety including: stomachaches, dizziness, headache, dry mouth, muscle tension, fatigue, increased heart rate, sweating, shortness of breath, and a frequent urge to use the bathroom.
Doctors don't like hypochondriacs, Belling says, because their concerns mirror physicians' own anxieties about the uncertainty of medicine and the fact that we all eventually get sick and die. “These patients can undermine medicine's own self-confidence,” Belling says.
People who have hypochondria actually believe they are ill, but do not manipulate test results. People who malinger pretend to be ill to gain some sort of benefit, such as avoiding military duty or trying to obtain compensation.
Hypochondria is itself a form of mild psychosis. The hypochondriac has a deep and ungrounded worry about having or developing a serious mental illness. Paranoia and suspiciousness are classical traits of psychosis but they can be subtle.
Contrary to the idea that "hypochondriacs" are simply looking for attention, the origins of someone's illness anxiety are often highly specific.
Trauma or abuse
Experiencing physical or emotional trauma can lead to hypochondria. This can include previous health trauma caused by the person having a serious illness, or by observing someone else experience a serious illness. People who experience extreme stress which they cannot relieve are also vulnerable.
Hypochondriasis Brain Science
The amygdala, the part of the brain responsible for detecting threats, may be hyperactive and may misidentify causes for fear or worry when none exist.
In the general population, approximately 0.26–8.5% have hypochondriasis. 4–6% of medical outpatients meet criteria for hypochondriasis, suggesting that a large percentage of those affected present for medical evaluation.
They include somatization disorder, undifferentiated somatoform disorder, hypochondriasis, conversion disorder, pain disorder, body dysmorphic disorder, and somatoform disorder not otherwise specified. These disorders often cause significant emotional distress for patients and are a challenge to family physicians.
Patients with hypochondriasis often are not aware that depression and anxiety produce their own physical symptoms, and mistake these symptoms for manifestations of another mental or physical disorder or disease.
Doctors may prescribe selective serotonin reuptake inhibitors (SSRIs), such as sertraline, fluoxetine, fluvoxamine, or paroxetine. At least one study found that patients tolerated fluoxetine well, and that the drug was moderately effective for hypochondriasis.
Cognitive therapy, behavioural therapy, cognitive behavioural therapy and behavioural stress management are effective in reducing symptoms of hypochondriasis.
Curing hypochondria, or the obsessive search for cures, does not happen instantly. It takes time, effort, and commitment to changing one's life for the better. However, with therapy, medication if necessary, and positive lifestyle changes, you can train your mind to use its curative powers for good rather than ill.
Other potential causes for hypochondria are listed below. A History of Physical and/or Sexual Abuse Observing or experiencing physical and sexual abuse, particularly as a child, can result in a heightened sense of physical vulnerability. This may lead a person to suspect serious health issues when they are not present.
The syndrome of monosymptomatic hypochondriacal psychosis (MHP) is a form of DSM-IV delusional disorder, somatic subtype, characterized by the delusional belief that one is afflicted with a medical disorder of defect. Such patients often present to dermatologists with delusions of parasitosis.
In the updated edition, hypochondriasis and several related conditions have been replaced by two new, empirically derived concepts: somatic symptom disorder and illness anxiety disorder. They differ markedly from the somatoform disorders in DSM-IV.