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Hypochondria: not feeling safe in your own body


Thursday, July 3rd, 2008
Issue 27, Volume 12.
Jennifer Smith
Special to the Village News


Hypochondriacs have long been the butt of jokes on television and in movies, but people who suffer from this form of anxiety don’t think there’s anything to laugh at.

Hypochondria isn’t a physical problem, even though it is all about the misinterpretation of physical systems. The imagination of the hypochondriac transforms normal, benign physical sensations or bodily functions into terminal illnesses or diseases like cancer, Alzheimer’s or heart disease.

The Mayo Clinic lists several common symptoms of hypochondria:

1. Excessive fear or anxiety about having a particular disease or condition

2. Worry that minor symptoms mean you have a serious illness

3. Seeking repeated medical exams or consultations

4. Frequently changing doctors

5. Obsessive health research

6. Frequent checking of the body for problems such as lumps or sores

7. Frequent checking of vital signs like blood pressure or pulse

8. Inability to be reassured by good medical exams

9. Thinking you have a disease after reading or hearing about it

A hypochondriac may also interpret normal daily slip-ups, such as misplacing one’s sunglasses and not remembering where they are, as a sign of Alzheimer’s or normal fatigue to be indicative of chronic fatigue syndrome.

The level of hypochondria varies from person to person. A less intense hypochondriac may worry about health and disease but not feel compelled to haunt doctor offices until they get the diagnosis they want.

A more obsessive hypochondriac can spend countless hours researching Advertisement
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the disease they believe they have and seeking out doctors who will agree with their diagnosis. Until they find this doctor, they go from office to office demanding numerous tests to prove they are correct. When the tests come back normal, the obsessive hypochondriac will believe that the medical care is substandard.

What triggers hypochondria varies: a parent may get cancer and you wonder if you’re next. Perhaps a friend dies from a heart attack or stroke and every headache or episode of fatigue leaves you wondering if your own heart or brain is about to pop.

Hypochondria can also wax and wane, becoming more pronounced during times of greater stress such as during a job loss, move or divorce.

Hypochondria is considered by many doctors to be on the spectrum of anxiety disorders and can be treated with psychotherapy and medications.

Most of the references I found admitted that it is not an easy problem to fix and that most patients learn to manage the anxiety, not cure it.

Talk therapy has good success in helping anxious people deal with their feelings of disease, death and not being in control of their health, and the extra bump that antidepressant medications can give the person may be what sets them on the path to feeling safe in their own bodies.


 

7 comments


Comment Profile ImageHilary Patten
Comment #1
People with supposed 'hypochondria' may actually be ill. I have spent twenty one years housebound & being told by the medical profession that all my debilitating and excruciatingly painful symptoms of fibromyalgia and myalgic encephalomyelitis (CFS) are in my head.During that time I have repeatedly been offered psychiatric treatments such as graded exercise and cognitive behaviour therapy. I've just found out that I have parasites - Cryptostrongylus and borrelia, that are probably causing my symptoms.Other people with M.E./CFS who are told they are imagining their symptoms have been found at autopsy to have viral infections of their hearts, spinal cords, brains, muscles and guts. The medical profession should hang it's head in shame at the way it dismisses any symptom it cannot at present explain. Both Parkinson's disease and MS have also been considered in the past to be imaginary disorders, until brain scanning techniques proved they were real.

Comment Profile ImageJill Cooper
Comment #2
I am sure that there are many people who do genuinely have hypochondria but I am also sure that many people are misdiagnosed with it. For example, you state:
'The imagination of the hypochondriac transforms normal, benign physical sensations or bodily functions into terminal illnesses or diseases like cancer, Alzheimer’s or heart disease. '

and then go on to say:
'A hypochondriac may also interpret normal daily slip-ups, such as misplacing one’s sunglasses and not remembering where they are, as a sign of Alzheimer’s or normal fatigue to be indicative of chronic fatigue syndrome. '

I feel these comments do not really take into account that many people really do have these illnesses but are not correctly diagnosed. The patient will continue to ask their medical professionals to try to explain the symptoms.

Take CFS. For years these patients who actually have a WHO classified neurological illness, have been treated as though they have 'abnormal illness beliefs'. It is only recently that the condition is becoming recognised for what it really is i.e. not a psychiatric illness but a physicalillness. This is exactly what happened to people with M.S., diabetes, brain tumours, Parkinson's Disease, epilepsy and many more illnesses before the conditions was properly ascertained through bio-medical research.

Therefore, I do not think it is wise to quickly dismiss a patient's concern over symptoms as being 'all in the mind'. Neither do I think it is very professional to do so.

Comment Profile ImageCatherine
Comment #3
Ever watch " Mystery Diagnosis " ? If they bought this the would be dead now.

Comment Profile ImageSALLY THOMSON
Comment #4
I object strongly to this article. ME/C.F.S. has been classified as a neurological illness by WHO and those who complain of symptoms really do exibit them. To be compared with a hypochondriac is very ignorant and the writer of this article clearly does not understand this debilitating medical condition in the least. One of the main problems that people with ME encounter is that they have to time and time again put forward their cases that they are in fact ill- which is why people may hear more about their symptoms. This is not due to hypochondria but due to coming up against people who disbelieve that this extremely life changing condition which is very fatiguing, is 'all in the mind'. This piece of writing above is very ill informed and really should not have been published without more analysis and research from the author.

Comment Profile ImageAndrew
Comment #5
I've been living with the "invisable disease" of Chronic Fatigue Syndrome for about 8 years and even today run into doctors who look at me over the top of their glasses and you can see the disbelief in their eyes. I had a Veterans Administration Dr flat out tell me he didn't believe the disease even exists and this was in January of 2007. Not only does this disease exist but I've also learned it typically attacks the more productive people of our society. I know if it didn't occur to me and I looked at someone like me today I would be in disbelief of how someone who looks "healthy" can be so sick internally that it takes an effort to even get out of be - and then you have to decide if you want to "waste" the little energy you do have by taking a shower. This disease is real and it's a doggone shame that we are looked at as if we are whinning. Like I said I was a very productive individual and to me that's what hurts the most - it took my ability to be productive. And I've lost a lot, my job, my marriage of 23 years, my home, and even the love of my teenage daughter that I've just been able to recconnect with. It's a devastating disease and on top of it all you have to put up with doctor's who think it is some type of figment of my imagination is a damn shame!

Comment Profile Imagesylvia polak environmnetal biologist
Comment #6
I have been dignosed with cfs and cryptostrongylus. I am a biologist to have experimented on myself with herbs, vitamins and other treatments and they help . I can be of service.

adonice@yahoo.co.uk

Comment Profile ImageChloe
Comment #7 | Saturday, Aug 7, 2010 at 10:49 am
I know several people with CFS and a number of them have regained full health once they dealth with underlying psychological problems as well as rebuilding their physical health. Nobody is saying that the symptoms are not real or that those suffering are 'making it up' but looking at psycholoical as well as physical causes surely makes sense. The person who wrote this article was not comparing CFS to hypochondria, if you read the article carefully you will see this. Many people with real illnesses can benefit from taking a more holistic aproach and accepting that looking at your cognitive procceses can help your body to heal. Take Dr Sarno's work as an example. He has cured many people of RSI and chronic back problems, he never says their pain is not real, he just encourages them to look at emotional as well as physical routes to healing. I can't really understand why people are so resistent to something that can help them. This article is about hypochondria so why are people who are NOT hypochondriacs but as they point out have a real physical illness, getting so defensive about it?

Article Comments are contributed by our readers, and do not necessarily reflect the views of The Fallbrook Village News staff. The name listed as the author for comments cannot be verified; Comment authors are not guaranteed to be who they claim they are.

 

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