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    How to handle health anxiety, with Karen Lynn Cassiday, PhD

    enAugust 28, 2024
    What is health anxiety also known as?
    How long can health anxiety persist?
    What are common harmful behaviors of health anxiety?
    What factors have exacerbated health anxiety during the pandemic?
    What effective treatments exist for health anxiety?

    Podcast Summary

    • Health AnxietyHealth Anxiety is a mental condition characterized by excessive and uncontrollable worry about health, leading to harmful behaviors and lasting for six months or more. It's important to seek professional help for effective treatments like CBT, exposure therapy, and medication.

      Health anxiety, also known as illness anxiety disorder, is a distinct mental health condition where individuals have excessive and uncontrollable worry about their health or someone else's. This condition, which is recognized in the Diagnostic and Statistical Manual of Mental Disorders (DSM), can lead to harmful behaviors such as reassurance seeking, excessive medical visits, or avoidance. Health anxiety can start in childhood and persist for six months or more. It's important to note that people with health anxiety are not making up their symptoms; they genuinely believe they could be a sign of a serious illness. The pandemic and the internet have exacerbated health anxiety for some individuals, making it essential to seek professional help if you or someone you know is struggling with it. Effective treatments include cognitive-behavioral therapy, exposure therapy, and medication.

    • Illness Anxiety DisorderIllness Anxiety Disorder (IAD) is a type of anxiety disorder characterized by excessive fear and worry about having a serious illness or contracting a disease. It's influenced by genetics and environmental factors, including family history of anxiety disorders, and has a prevalence of 3-5%.

      Illness Anxiety Disorder (IAD) is a type of anxiety disorder where individuals have an excessive fear and worry about having a serious illness or contracting a disease. This condition, formerly known as hypochondriasis, is different from other anxiety disorders as those affected view illness and death as unusually tragic. IAD is influenced by both genetics and environmental factors, including learning from family members or loved ones who constantly express fear about health issues. Approximately 70-80% of people with anxiety disorders, including IAD, have a first-degree relative with an anxiety or mood disorder. IAD can also manifest as a concern for the health of someone you love. The prevalence of IAD is estimated to be between 3-5%, but due to its recent recognition, the actual rate may be higher. Clinicians have observed an increase in diagnoses since the condition was recognized.

    • Illness Anxiety Disorder PrevalenceThe pandemic has exacerbated the underestimated issue of Illness Anxiety Disorder, leading to heightened anxiety for vulnerable individuals, and the culture of over-cautious parenting and media consumption also contribute to this issue.

      The prevalence of illness anxiety disorder is underestimated and may even double current estimates. The pandemic has exacerbated this issue due to constant uncertainty and increased access to information, leading to heightened anxiety for those already vulnerable. The culture of over-cautious parenting and the way information is consumed and presented in the media also contribute to this issue. For individuals with anxiety disorders, their brains can learn to react strongly to one scary event, making it challenging to manage fears about serious illness.

    • Health Anxiety and InternetThe digital age has made it easier for individuals with health anxiety to self-diagnose and seek constant reassurance, but not all information is reliable, and it's essential to vet sources and stay informed with evidence-based information to minimize the impact of health anxiety.

      The prevalence of health anxiety has increased significantly due to the easy access to information on the internet. This digital age has made it easier for individuals, especially those with health anxiety disorders, to self-diagnose and seek constant reassurance. However, not all information on the internet is reliable, making it essential to vet sources and distinguish between credible and self-published content. The struggle to manage this internet addiction is a common challenge for individuals with health anxiety. Furthermore, the medical establishment also plays a role in this issue, with some providers pressured to perform more procedures due to financial incentives, potentially contributing to unnecessary tests and diagnoses. It's crucial for both individuals and healthcare providers to stay informed and grounded in evidence-based information to minimize the impact of health anxiety.

    • Health anxiety, misdiagnosisMisdiagnosis and lack of proper training among medical providers can worsen health anxiety, leading to self-diagnosis, uncertainty, and fear. Effective treatment involves cognitive behavioral therapy with exposure techniques to help individuals cope with their fears and reduce anxiety response.

      Anxiety related to health concerns can be exacerbated by misdiagnosis, lack of proper training among medical providers, and easy access to medical records leading to self-diagnosis. These factors can create uncertainty and fear, making it difficult for individuals to trust their own judgment and cope with the normal range of test results. Effective treatment includes cognitive behavioral therapy with exposure techniques and worry exposure practices to help individuals process their fears and learn that their anxiety is not reality. These methods allow the body and mind to get used to the scary thoughts, reducing the fear response.

    • Anxiety treatmentEffective anxiety treatment combines exposure-based therapy, coping skills, and medication when necessary. Gradual exposure helps manage anxiety, while medication calms the mind and body. Progress may not be immediate, and support from loved ones is crucial.

      Effective treatment for anxiety involves a combination of exposure-based therapy and, if necessary, medication. Exposure-based therapy helps individuals learn to manage anxiety by gradually exposing them to the things that trigger their anxiety and teaching them coping skills. Medication can provide relief by calming the body and mind, allowing individuals to think more clearly and respond appropriately. It's important to note that progress may not be immediate, and if significant improvement isn't seen after two months, medication may be considered. Additionally, individuals may need to avoid behaviors that provide quick reassurance, such as excessive research or checking one's body, and seek support from loved ones to help manage anxiety. For those who worry about others' health, it may be necessary to step back and allow others to take on that role. Remember, worrying doesn't equate to responsibility or love; it can actually hinder effective care. Only conduct medical research after receiving a diagnosis.

    • Health Anxiety Disorder DiagnosisIndividuals with health anxiety disorders should not diagnose themselves or others, and should seek professional help instead to avoid unnecessary worry. Distinguish between health anxiety disorder and factitious disorder, where a parent intentionally makes a child ill, and accept a certain amount of 'benign neglect' for peace of mind and productivity.

      Individuals with health anxiety disorders should not attempt to diagnose themselves or others, and should instead leave it to the experts to avoid unnecessary worry. This disorder often affects parents or grandparents, who may model excessive checking behaviors. Anxious individuals may resist the idea of stopping their behaviors, believing the rest of the world is negligent with healthcare. However, accepting a certain amount of "benign neglect" can lead to peace of mind and productivity. It's essential to distinguish between health anxiety disorder and factitious disorder, where a parent intentionally makes a child ill. Signs of factitious disorder include a child being sick and the parent showing satisfaction during medical interactions, the parent's ability to be reassured, and the parent not expressing anxiety to the same degree as in health anxiety disorders.

    • Difference between Anxiety and Factitious DisorderAnxiety and factitious disorder share symptoms but factitious disorder lacks physical responses. Treatments are available for anxiety, and embracing acceptance towards aging, sickness, and mortality can help alleviate anxiety. Learning to live a productive life despite circumstances can help overcome fear of death.

      While anxiety and factitious disorder share some symptoms, the consistent absence of physical responses in factitious disorder is a key difference. For those struggling with health anxiety or knowing someone who does, it's essential to remember that treatments are available, and many people have found relief. Additionally, embracing a more accepting perspective towards aging, sickness, and mortality can help alleviate anxiety around these topics. As Dr. Cassidy suggests, learning to live a productive and meaningful life now, regardless of circumstances, can be an effective antidote to fear of death and dying. Remember, it's okay to talk about these issues and seek help. You're not alone, and there are resources available to help you navigate your concerns.

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