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Health Anxiety
1. Find other reasons for your symptoms
The symptoms you have could be due to a serious illness, yet it is likely that they are not. Many symptoms are caused by changes in your body that are normal, not dangerous. They are not signs of any bigger problems.
Worry can produce all sorts of body symptoms which can make you feel bad or upset. They do not always mean you are ill.
Write down all the reasons why you think you are ill. Then ask "can these be caused by something else?"
Reasons that I think I have a brain tumour :
We may all become ill at some time in our lives. This is a fact for most of us, but we can decide whether we want to spend our time worrying about this possibility or get on with our lives
Write down your answers to these questions. It may help to talk them over with someone else.
Make a list of the things you have done to try and help yourself. Think about how helpful they are in stopping your worry. Give each a rating between 0 - 10 for how helpful it was for you at the time. Now as a second rating of how helpful it was to you in the long-term (with 0 being not at all helpful, while 10 is very helpful)
Ways I have tackled my worry about my healthHow helpful was it at the timeHow helpful was it in the long-term
Going to the doctor60
Having tests80
Talking about my symptoms to my husband102
Staying in bed and having a good rest51
Trying to avoid health programmes42
Stop thinking about the way my body feels all the time36
4. Stop the vicious circle of worry
A. Learn not to ask for comfort and support
When looking for comfort from others you tend to think more about your health and tend not to believe what people say. It is more helpful if you can comfort yourself.
Every time you feel very worried about your health, try not to ask for help from anyone else. For example, do not ask your partner or family about your health. If you do, ask them to help you by not 'comforting' you. They could change the subject if you start talking about the state of your health. This may make you feel worried in the short-term. Instead try and find another way of coping with the worry. One very good way is to take your mind off your worries by doing something else. Go for a walk, clean the house, do a hobby you enjoy, or read. Find something that works for you. Try to keep yourself busy with something else when you are tempted to talk and worry about your health
Sarah kept a record of how many times she asked for comfort about her headaches. She found it helpful. She found that when she was not given comfort, she felt bad in the short term. As she started to find her own ways to comfort herself she noticed that she began to feel better and asked for it less often. She also found that she worried less often.
MonTueWedThuFriSatSun
Number of times I asked for comfort6533322
How worried I felt ( 0 - 10)109109865
B. Stop watching and checking your symptoms
It is a great idea to carry out simple checks on your health every so often e.g. checking your breasts once a month. It is not helpful to think about your health all the time. Worrying about your health can make you aware of every tiny symptom. This is like putting a spotlight on your body all the time. Checking maintains the problem. It keeps your attention focused on your body. It makes you more anxious. Poking and squeezing can increase the symptoms. You need to turn the spotlight off your body
Sometimes knowing too much about health can be a bad thing. It makes you very aware of every change in your body. Much of what you find out may seem very vague. Lots of things can cause a change in your body. Trying to find out if you have an illness can be very worrying and not helpful at all.
Number of times I found out about illness6533322
How worried I felt ( 0 - 10)109109865
D. Stop behaving as though you are ill
Many people who are worried about their health stop doing things e.g. they stop doing things, because they are worried about hurting themselves. The trouble with stopping doing things is that you will become less fit. If you are less fit, then you may become tired, or generally unwell. You may then start to think these signs are signs of illness. Then you might slow down even more, and so on in another vicious circle.
Plan to get active
Do physio's exercises for 5 minutes each night
Do physio's exercises for 10 minutes each night
Do physio's exercises for 10 minutes each night and go for short walk for 5 mins
Do physio's exercises for 10 minutes each night and go for short walk for 10 mins
Do physio's exercises for 10 minutes each night and go for short walk for 20 mins
Practice golf swing
Practice golf swing and go for walk for 20 mins
E. Stop avoiding things to do with illness
You may avoid finding out about health because it makes you very upset. When you avoid doing this it may make you feel better in the short -term, but more worries in the long-term.
Make a list of the ways in which you have been avoiding things to do with the illness you worry about. Rate each for how much you avoid them, on a scale of 0 - 10 (where 0 is least and 10 the most). Then start with the one you avoid least. Plan to spend a bit of time doing just this. You will slowly be able to tackle each in turn.
What I have avoidedHow much I avoided it
Watching TV programme on heart disease10
Listening to other people talking about their illness5
Reading about heart disease in the paper7
F. Dealing with the worries about your health
When you worry, the thoughts are of a certain type. They tend to overplay how likely it is that something bad will happen. They tend to underplay how well we can cope with it. You need to get worrying about your health into more balance.
Keeping a diary of thoughts and other possible thoughts may be helpful. Here is an example:
Step 1 - What are your worrying thoughts?
Write down your worrying thoughtsHow much do I believe it?
My headache means I have a brain tumour10
Step 2 - Challenge your worrying thoughts
Try and find a more balanced thought
It might help if you think of
My gran had headaches and she died of a brain tumour.
Ask yourself what reasons you have against the thought
I have had tests done and I am OK.
Lots of people have headaches and don't have brain tumours.
I have a stressful job that can give people headaches.
Step 3 - Come up with another way of looking at it
More balanced thoughtNew rating of worry (0 - 10)
Brain tumours are rare in adults. I am aware of it because it's in the news3
G. Focus on other things
Trying to focus on something else can be useful. If you worry less, your symptoms will also get less
There are 3 ways in which you can distract yourself when you notice that you are beginning to worry:
https://www.google.co.in/url?sa=t&rct=j&q=&esrc=s&source=web&cd=5&cad=rja&ved=0CE4QFjAE&url=http://glasgowspcmh.org.uk/self-help/anxiety/health.php&ei=5aulUu3-D8PsrAed3oDgBA&usg=AFQjCNH_QO-9OyOUMJQTQk1oE87OamXhIQ
1. Find other reasons for your symptoms
The symptoms you have could be due to a serious illness, yet it is likely that they are not. Many symptoms are caused by changes in your body that are normal, not dangerous. They are not signs of any bigger problems.
Worry can produce all sorts of body symptoms which can make you feel bad or upset. They do not always mean you are ill.
Write down all the reasons why you think you are ill. Then ask "can these be caused by something else?"
Reasons that I think I have a brain tumour :
- I have a bad headache
- I am very stressed at the moment
- If I lie down and the pain goes away it is unlikely to be a brain tumour
- Brain tumours are very rare
- I have had bad headaches for years and I'm still alive
We may all become ill at some time in our lives. This is a fact for most of us, but we can decide whether we want to spend our time worrying about this possibility or get on with our lives
Write down your answers to these questions. It may help to talk them over with someone else.
- What are my worries about my health? For example, ' I am worried that I am having a heart attack', 'I am worried that I will not be able to look after the family
- Do I know for certain that I have this illness e.g. because the doctor has told me so
- If yes - then follow your doctors advice
- If no - because you are uncertain or know for sure that you do not have the illness, then ask yourself the following question
- Is there anything I can do about my worry - for example, change my diet or lifestyle
- If yes - then do it now
- If no - then stop worrying
Make a list of the things you have done to try and help yourself. Think about how helpful they are in stopping your worry. Give each a rating between 0 - 10 for how helpful it was for you at the time. Now as a second rating of how helpful it was to you in the long-term (with 0 being not at all helpful, while 10 is very helpful)
Ways I have tackled my worry about my healthHow helpful was it at the timeHow helpful was it in the long-term
Going to the doctor60
Having tests80
Talking about my symptoms to my husband102
Staying in bed and having a good rest51
Trying to avoid health programmes42
Stop thinking about the way my body feels all the time36
4. Stop the vicious circle of worry
A. Learn not to ask for comfort and support
When looking for comfort from others you tend to think more about your health and tend not to believe what people say. It is more helpful if you can comfort yourself.
Every time you feel very worried about your health, try not to ask for help from anyone else. For example, do not ask your partner or family about your health. If you do, ask them to help you by not 'comforting' you. They could change the subject if you start talking about the state of your health. This may make you feel worried in the short-term. Instead try and find another way of coping with the worry. One very good way is to take your mind off your worries by doing something else. Go for a walk, clean the house, do a hobby you enjoy, or read. Find something that works for you. Try to keep yourself busy with something else when you are tempted to talk and worry about your health
Sarah kept a record of how many times she asked for comfort about her headaches. She found it helpful. She found that when she was not given comfort, she felt bad in the short term. As she started to find her own ways to comfort herself she noticed that she began to feel better and asked for it less often. She also found that she worried less often.
MonTueWedThuFriSatSun
Number of times I asked for comfort6533322
How worried I felt ( 0 - 10)109109865
B. Stop watching and checking your symptoms
It is a great idea to carry out simple checks on your health every so often e.g. checking your breasts once a month. It is not helpful to think about your health all the time. Worrying about your health can make you aware of every tiny symptom. This is like putting a spotlight on your body all the time. Checking maintains the problem. It keeps your attention focused on your body. It makes you more anxious. Poking and squeezing can increase the symptoms. You need to turn the spotlight off your body
- Decide how much checking is OK. You can find out by asking your doctor, family and friends
- If you are tempted to check: DON'T !!!!!! Not checking is likely to make you worried in the short-term. You can cope with the worry by taking your mind off it. Try to distract yourself.
- You may need to practice not checking: it is a bit like stopping a bad habit. Ask your family to help you to stop, or help take your mind off every symptom
Sometimes knowing too much about health can be a bad thing. It makes you very aware of every change in your body. Much of what you find out may seem very vague. Lots of things can cause a change in your body. Trying to find out if you have an illness can be very worrying and not helpful at all.
- Try to stop finding out so much about illness. Stop reading medical books. Stop watching every single medical programme.
- Even if you are very tempted to read up on every single thing, try not to do so. This may make you worried in the short-term, but not in the long-term
- Distract yourself or try other ways of coping with worries
- Ask your family to help you not to keep on reading up about symptoms and watch less worrying programmes on TV. Continue until you are able to cope better with the worries
Number of times I found out about illness6533322
How worried I felt ( 0 - 10)109109865
D. Stop behaving as though you are ill
Many people who are worried about their health stop doing things e.g. they stop doing things, because they are worried about hurting themselves. The trouble with stopping doing things is that you will become less fit. If you are less fit, then you may become tired, or generally unwell. You may then start to think these signs are signs of illness. Then you might slow down even more, and so on in another vicious circle.
Plan to get active
- It is important that you resume your normal level of activities slowly. If you have been inactive for a while, don't expect to be able to do as much as you used to do at once
- Make a list of all the things you used to do, and would like to do again. Put them in order - with the one using the least amount of effort first, and finish with the one that needs most effort.
- Each day, spend a little time, gently doing first step on your list. For example, this may be going for a walk, for 5 minutes, without pushing yourself. When you can perform this and not feel too tired, extend the length of your walk.
- When you can do the first step well (such as walking for half an hour) move on to the next step. Be careful never to push yourself too hard.
- Work through your list step by step.
Do physio's exercises for 5 minutes each night
Do physio's exercises for 10 minutes each night
Do physio's exercises for 10 minutes each night and go for short walk for 5 mins
Do physio's exercises for 10 minutes each night and go for short walk for 10 mins
Do physio's exercises for 10 minutes each night and go for short walk for 20 mins
Practice golf swing
Practice golf swing and go for walk for 20 mins
E. Stop avoiding things to do with illness
You may avoid finding out about health because it makes you very upset. When you avoid doing this it may make you feel better in the short -term, but more worries in the long-term.
Make a list of the ways in which you have been avoiding things to do with the illness you worry about. Rate each for how much you avoid them, on a scale of 0 - 10 (where 0 is least and 10 the most). Then start with the one you avoid least. Plan to spend a bit of time doing just this. You will slowly be able to tackle each in turn.
What I have avoidedHow much I avoided it
Watching TV programme on heart disease10
Listening to other people talking about their illness5
Reading about heart disease in the paper7
F. Dealing with the worries about your health
When you worry, the thoughts are of a certain type. They tend to overplay how likely it is that something bad will happen. They tend to underplay how well we can cope with it. You need to get worrying about your health into more balance.
Keeping a diary of thoughts and other possible thoughts may be helpful. Here is an example:
Step 1 - What are your worrying thoughts?
Write down your worrying thoughtsHow much do I believe it?
My headache means I have a brain tumour10
Step 2 - Challenge your worrying thoughts
Try and find a more balanced thought
It might help if you think of
- What would you say to yourself if you were not feeling so worried?
- What might you say to someone else if they said this to you?
- What might your partner or friend say to you about your worries?
- What could you say to yourself that is more helpful and less worrying
My gran had headaches and she died of a brain tumour.
Ask yourself what reasons you have against the thought
I have had tests done and I am OK.
Lots of people have headaches and don't have brain tumours.
I have a stressful job that can give people headaches.
Step 3 - Come up with another way of looking at it
More balanced thoughtNew rating of worry (0 - 10)
Brain tumours are rare in adults. I am aware of it because it's in the news3
G. Focus on other things
Trying to focus on something else can be useful. If you worry less, your symptoms will also get less
There are 3 ways in which you can distract yourself when you notice that you are beginning to worry:
- Do something. This might include keep fit e.g. going for a walk, swim, or digging the garden. Reading a book, cooking or listening to the radio can also help
- Pay attention to something else. Notice what is around you, in the room or outside. You could count how many red objects you can see. You could describe a picture in great detail. The more detailed the task, the more it will distract you.
- Do a mental exercise such as sums in your head. For example, count backward in sevens from 3496. Or you could think of a holiday you have had or think of a special place. Think about the sounds, smells and textures as well as the sights
- You could tell yourself that you will worry at a certain time in the day. This means that you can tell yourself you do not need to worry now because you can do it later.
- You can also imagine that you are putting the worries into a box. When the box is full, you can imagine throwing it away.
https://www.google.co.in/url?sa=t&rct=j&q=&esrc=s&source=web&cd=5&cad=rja&ved=0CE4QFjAE&url=http://glasgowspcmh.org.uk/self-help/anxiety/health.php&ei=5aulUu3-D8PsrAed3oDgBA&usg=AFQjCNH_QO-9OyOUMJQTQk1oE87OamXhIQ