Considered a somatoform disorder, or a psychological disorder with physical symptoms, hypochondria occurs equally in men and women and can develop at any age, but most often begins in early adulthood. Although it doesn't seem to have a genetic link, the mental disorder may be triggered by life events.
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.
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.
Do hypochondriacs feel real symptoms? Yes. 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.
Share on Pinterest The most common symptom of hypochondria is excessive worrying about health. A study published in JAMA defines somatic symptom disorder as “a persistent fear or belief that one has a serious, undiagnosed medical illness.” The authors note that it affects up to 5 percent of medical outpatients.
Being preoccupied with having or getting a serious disease or health condition. Worrying that minor symptoms or body sensations mean you have a serious illness. Being easily alarmed about your health status. Finding little or no reassurance from doctor visits or negative test results.
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.
When physical symptoms are caused or made worse by your mental state, it's called psychosomatic. Many people believe that psychosomatic symptoms aren't real — but they are, in fact, very real symptoms that have a psychological cause, Jones says.
It affects about 0.1% of Americans. It typically appears during early adulthood.
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.
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.
Hypochondriasis Brain Science
Scientists believe that anxiety symptoms come from activity in the parts of the brain that control emotions and our reactions to them. These parts of the brain are called, collectively, the limbic system.
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.
Contrary to the idea that "hypochondriacs" are simply looking for attention, the origins of someone's illness anxiety are often highly specific.
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.
Antidepressants, such as selective serotonin reuptake inhibitors (SSRIs), may help treat illness anxiety disorder. Medications to treat mood or anxiety disorders, if present, also may help. Talk with your doctor about medication options and the possible side effects and risks.
Check if you have health anxiety
You may have health anxiety if you: constantly worry about your health. frequently check your body for signs of illness, such as lumps, tingling or pain. are always asking people for reassurance that you're not ill.
Tell your doctor
If you're worried about a health condition, don't put off going to the doctor. Try saying: "I'm a bit of a hypochondriac, but would you mind checking ...". It breaks the ice and it puts your concerns into context.
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.
This condition used to be called hypochondria. Now it is called somatic symptom disorder. The symptoms associated with somatic symptom disorder are not under the person's voluntary control, and they can cause great distress and can interfere with a person's life.