[44M] Experiencing health anxiety with a focus on physical health

Patient Description

A 44-year-old male has been experiencing a heightened focus on his physical health for the past three years, which has been affecting his daily life. He has a significant concern about having a serious illness despite medical reassurance and has sought multiple medical opinions and undergone repeated tests. The patient has a history of ulcerative colitis diagnosed two years ago and is currently on Mesalamine and Vitamin D. He does not have any known drug allergies. The patient does not report any symptoms of persistent low mood, loss of interest, or panic attacks.

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Arora's Assessment

What might be happening

Based on the information you have provided, it seems like you may be experiencing a condition known as Illness Anxiety Disorder (IAD), previously known as hypochondriasis. This is a chronic condition where you're excessively worried about having a serious illness, despite medical reassurances. This worry can be so intense that it interferes with your daily life.

You have a pre-existing condition, Ulcerative Colitis, which might be contributing to your health anxiety. It's common for people with chronic illnesses to worry about their health more than those without chronic conditions.

What you can do

  1. Seek professional help: It's important to discuss your feelings with a healthcare professional who can provide guidance and reassurance. They can also refer you to a mental health specialist if necessary.

  2. Cognitive Behavioral Therapy (CBT): This type of therapy can help you learn to recognize and understand the thoughts and behaviors that lead to excessive worrying about health. You'll learn to challenge these thoughts and change your behaviors.

  3. Mindfulness and relaxation techniques: These can help manage your anxiety. Techniques include meditation, deep breathing, yoga, and progressive muscle relaxation.

  4. Regular exercise: Physical activity can help reduce anxiety by boosting your mood and acting as a natural stress reliever.

  5. Healthy diet: Eating a balanced diet can help your body better cope with stress. Avoid caffeine and alcohol, which can trigger anxiety and panic attacks.

What you should look out for

If your worry about illness is interfering with your personal relationships, work, or other important areas of your life, or if you're feeling distressed, depressed, or having suicidal thoughts, seek professional help immediately. Remember, it's important to talk to a healthcare professional about your concerns. They can provide proper diagnosis and treatment.

Please note that this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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1 yr ago

People Also Ask


What is Illness Anxiety Disorder and how is it different from general anxiety?

Illness Anxiety Disorder (IAD) is a condition where a person is excessively worried about having a serious illness despite medical reassurance. It differs from general anxiety in that the focus is specifically on health and illness, often leading to frequent medical consultations and tests.


How can Ulcerative Colitis contribute to health anxiety?

Ulcerative Colitis is a chronic condition that can cause ongoing health concerns and symptoms, which may heighten a person's focus on their health. This can contribute to health anxiety as the individual may become more vigilant and worried about their health status.


What are the benefits of Cognitive Behavioral Therapy (CBT) for someone with Illness Anxiety Disorder?

Cognitive Behavioral Therapy (CBT) is beneficial for Illness Anxiety Disorder as it helps individuals recognize and change the thought patterns and behaviors that contribute to their excessive health worries. It teaches coping strategies and ways to challenge irrational thoughts.


Are there lifestyle changes that can help manage health anxiety?

Lifestyle changes such as regular exercise, a healthy diet, mindfulness, and relaxation techniques can help manage health anxiety. These practices can reduce stress, improve mood, and provide a sense of control over one's health and well-being.


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