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思健醫務中心 HealthyMind Centre

Hypochondriasis

Hypochondriasis

What is Illness Anxiety Disorder? 

Illness Anxiety Disorder, also known as hypochondria, is a type of mental disorder. Patients have a misinterpretation of their bodily sensations and persistently fear that they have a serious illness, often seeking medical attention repeatedly. Some individuals may extensively search for related articles online, which can exacerbate their anxiety. This worry continues even after thorough medical evaluations, as explanations from doctors and objective test results are insufficient to alleviate their concerns. In severe cases, patients may even request invasive tests to confirm their condition. Unfortunately, these invasive procedures come with their own risks and can potentially lead to new physical issues, further deepening the patient's illness anxiety. Illness Anxiety Disorder typically develops around the age of 40 and can affect both men and women in similar proportions. 

Who is More Likely to Develop Illness Anxiety Disorder? 

  • Individuals with sensitive and suspicious personalities 

  • Those who lack a sense of security 

  • People who have limited social support 

  • Individuals with close relatives or friends who have serious illnesses 

How is Illness Anxiety Disorder Diagnosed? 

The diagnostic criteria are as follows: 

  • Excessive worry about health or illness that is disproportionate to the actual health situation. 

  • Heightened sensitivity to normal physiological sensations and abnormal feelings, leading to illness-related interpretations. 

  • Repeatedly seeking medical attention or requesting medical tests, with doctors' explanations and objective test results failing to alleviate their concerns. 

  • Symptoms persist for six months or more and impact daily life. 

What are the Treatment Options for Illness Anxiety Disorder? 

Treatment primarily focuses on psychotherapy, with medication serving as a supplementary option. Psychotherapy aims to enhance the patient's awareness of their condition and reduce excessive focus on bodily discomfort. Medication can help alleviate physical discomfort symptoms, boost the patient’s confidence in treatment, and accelerate recovery time. Many patients experience improvement with a combination of psychotherapy and medication. 

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