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Licensed Psychologist

Health-Related Anxiety: Symptoms, Disorders, & Treatment

Health Anxiety

Worried about feeling sick as a dog? You might be experiencing health anxiety, an umbrella term which is associated with several different underlying conditions.


Think about the most significant health scare you have ever experienced. Then multiply this experience by a factor of about 10. Unfortunately, this is a daily reality for many individuals suffering from health-related anxiety, a debilitating condition that can have devastating effects on one’s mood, relationships, and ability to function in academic and professional settings.

What is health anxiety?


Health-related anxiety is a general term that refers to intense fear or worry about one’s physical health. Fear about illness (or potential illness) might develop in situations in which an individual has a diagnosed medical illness. These health conditions might include:

  • a diagnosed, progressive medical condition (e.g., worry about advancing symptoms of Alzheimer’s disease).
  • a diagnosed medical condition that requires management and/or health behavior changes (e.g., anxiety following a diagnosis of diabetes or after experiencing a heart attack).
  • a diagnosed chronic medical condition (e.g., worry about learning how to manage chronic pain).
  • a diagnosed, single episode medical condition (e.g., fear about the reoccurrence of an injury).

If you have never experienced serious physical illness, the impact of an unexpected health scare may be difficult to appreciate fully. Serious illness can highlight your own mortality and profoundly alter your worldview. A life that previously felt long and full of potential comes to feel fragile and tenuous. Confusion, hopelessness, and depression often follow.

However, health-related anxiety is not only associated with diagnosed medical conditions. Often, people worry about potentially getting sick or think they may have a disease that has not yet been diagnosed. They might have existing hereditary, lifestyle, or environmental risk factors for cancer or another serious illness; or despite not having major risk factors, they feel especially vulnerable to developing a serious illness. These might include situations in which the individual has:

  • a constellation of unexplained physical symptoms (e.g., aches, pains, nausea, tingling sensations) that might represent a currently undiagnosed medical condition (e.g., worry that one might have cancer, AIDS/HIV, ALS, Parkinson’s Disease, etc. despite not having significant medical signs of the illness).
  • fear of getting sick or experiencing “intolerable” physical symptoms of illness (e.g., intense fear that one would not be able to “handle” symptoms like nausea, vomiting, diarrhea, etc.) in the absence of current symptoms.
  • residual fear about the possible reoccurrence of a disease or illness.
  • fear about catastrophic outcomes that might occur if one were to contract an illness.
  • fear of heightened vulnerability or susceptibility to disease or illness.
  • health-related or somatic obsessions.

In such cases, it is not uncommon for the individual to take drastic steps to preserve their health and/or to obtain an accurate diagnosis. In these cases, individuals may consult with many different doctors (including multiple specialists), undergo many different diagnostic procedures, take many vitamins or supplements, spend significant time researching possible explanations for symptoms, avoid contact with sick people, engage in frequent use of hand sanitizers, engage in frequent hand-washing behaviors, and practice other pro-health behaviors. Although these behaviors are adopted to reduce disease susceptibility and health-related anxiety, they can have the unfortunate effect of paradoxically reinforcing and strengthening the underlying fear.

How is health anxiety diagnosed?


Health anxiety, per se, is not a formal diagnosis. In fact, symptoms of health anxiety may be due to one of many different etiologies. In some cases, worry about getting sick reflects part of the natural process of recovering from a serious illness. It is scary at first, but this fear diminishes with time and experience.

In other cases, health-related anxiety might reflect an underlying anxiety disorder or somatoform disorder. Common diagnoses associated with health anxiety include OCD, panic disorder, agoraphobia, anxiety disorder NOS, adjustment disorder, somatization disorder, and hypochondriasis (among others).

How is health anxiety treated?


Treatment of health-related anxiety depends on the specific underlying condition (if any). As such, the first step is obtaining an accurate (mental-health related) diagnosis from your doctor, psychologist, or psychiatrist. This diagnosis then guides treatment selection, which should involve using the best available research evidence to select an appropriate evidence-based treatment protocol. In many cases, cognitive-behavioral therapy (CBT) will be indicated, but CBT approaches are often modified on the basis of the specific diagnosis being treated.

Thoughts?  Questions?  Experiences with health-related anxiety? Please share below…




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15 Comments

  1. What an excellent article. I think you have hit the nail on the head in recognizing the fears, symptoms and avoidances. Clearly, treatment follows suit.

    • Thanks for reading, GG. Treatment is a process that requires much hard work, but persistence pays off.

  2. I am suffering from health related anxiety along with OCD. It started off three months ago because of some bad diagnosis which is causing me to fear of suffering benign things like flu etc. What are the treatment approaches for this ?. Thanks

    • Cognitive behavioral therapy (CBT) is the most evidence-based treatment for health anxiety. If your health anxiety is more OCD-like, you should also investigate exposure and response prevention (ERP), which is a particular type of CBT that was developed to address symptoms of OCD.

      • Thanks for the reply doc….I think my health anxiety has increased my mild OCD symptoms to more pronounced.

  3. Hi there Steven! Stumbled upon your blog tonight, and wow these are some of the best articles on OCD I’ve read. Thank you for writing such great stuff.

    One of my main OCD obsessions is that I may be schizophrenic…I often obsess that I’ll start hearing voices or seeing things and worry about it a lot…would this fall under the health anxiety category?

    Thank you :)

    • Hi Monika,

      The fear of developing schizophrenia is incredibly common for people with OCD–I encounter that worry often. I wouldn’t necessarily consider it health anxiety, but rather OCD involving a specific feared outcome. Of course, it would be important to differentiate the fear of hearing/seeing things vs. actually experiencing sensory disturbances.

  4. Hi, my name is Cheri and I have experiences health anxiety from a very young age. I am very hyper sensitive to body sensations and strong feelings in my body such as pains, bumps, bruises etc. but, I also will avoid a doctor until absolutely necessary. I am looking for some one to help. Can you recommend anyone. I live in Michigan but, will do online or phone consultations.

    • I am just like you—I really need help

  5. Please help me! I am desperate. My mind is always thinking negative thoughts with every pain, noise, sensation that I feel. I want to live a normal happy life and I struggle everyday. I tied hypnotism and that didn’t work. I cannot take ms bc of kidney issue—please help

    • Hypnosis is not an effective treatment for symptoms like these. Find a therapist who uses exposure and response prevention (ERP), a specific type of cognitive behavioral therapy (CBT).

  6. Health related anxiety can be a very costly form of anxiety. I have seen people run to the doctor at even the slightest twinges thinking they have something very serious. They are then sent home from the doctor time and time again. I think addressing the underlying anxiety issues are the answer. Also, giving someone you know with the condition emotional support. Maybe just someone telling them they will be alright is all they need.

    • I agree with everything you’ve said except the last statement. Sometimes, external reassurance contributes to one’s ongoing symptoms. For some people, reassurance-seeking can make symptoms significantly worse.

  7. I am not on SSI or anything but I have no income or money. I really wish people would donate their time to help people in such situations in South Florida. It is really frustrating…to want to be better but inability to have income. Its a vicious cycle and I hope someone or something changes

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