When Feeling Ill is Not Enough

Almost half of the population has periods of intermittent and unfounded worry about illness. How far some individuals will go to diagnose their current and ambiguous symptoms is dumbfounding.

Symptoms of hypochondriasis usually begin during childhood, but the disorder is not diagnosed until young adulthood. Hypochondriasis frequently becomes chronic, but there be periods of remission, in which they are completely symptom free. Men and women are affected by hypochondriasis equally. Symptoms usually intensify after a major loss. Untreated the disorder tends to get worse rather than better. The disorder often accompanies other mental illnesses including depression, anxiety and psychotic disorders.

Symptoms of Hypochondriasis

The patient will present to the doctor or hospital with many (if not most) complaints that cannot be attributed to any true or specific illnesses; even after extensive medical examinations and testing. When reassured there is nothing seriously wrong with him, hypochondriac will likely become upset with the medical staff. He will probably seek out another opinion (or maybe three). Hypochondriacs usually spend countless hours on web sites like wrongdiagnosis.com or webmd.com to determine a probable diagnosis for their symptoms.

  • Preoccupation with illness of the fear of illness
  • Persistent, unqualified concerns about health (not appearance) but is not delusional
  • Appropriate, thorough medical exam and testing does not reassure the patient that they are well
  • May have associated depression, anxiety organic brain syndrome, or psychotic disorders
  • Misses work, gatherings, events because of perceived illnesses
  • Patient seeks advice of many doctors, going from one to another, to find one that will diagnose disease or illness
  • Symptoms seem to shift and change and are often non-specific or lack detail
  • Symptoms last for at least six months

Treatment for Hypochondriasis

Because the patient reports significant physical complaints, doctors must first perform a thorough physical examination with appropriate blood tests, x-rays and other tests to rule out or verify the validity of his/her physical complaints. Real disease and/or illness can be overlooked in patients who been diagnosed with hypochondriasis, because their complaints were previously unfounded. Thus, it becomes essential that the physician review all possible causes for symptoms before ruling out a true disease or disorder. If disease is ruled out, the patient may or may not be receptive to referrals for treatment of hypochondriasis.

One third of hypochondriacs will experience significant improvement in their condition with appropriate treatment. Antidepressants (Prozac, Luvox), anti-anxiety, and antipsychotic medications have been beneficial. Additionally, the individual is frequently referred for psychotherapy to teach them how to change their responses to anxiety. The hypochondriac must resist the urge to self-diagnose. He/she needs to seek medical treatment and reassurance from one, and only one, trusted doctor. They also need to break their addiction to surfing the web to self-diagnose.

The Internet and the Hypochondriac

Thanks to the Internet, becoming a hypochondriac is much easier than it used to be. The easy availability of health information on the web has certainly helped countless people make educated guesses about their health and medical treatment; but it can be catastrophic for people who are likely to worry. Hypochondriacs researching an illness scour websites for information. They generally are not discriminate on which resources they search, blogs even add to their worries. Even the most reputable sites heighten their concerns.

Hypochondriacs tend to latch onto diseases with ambiguous symptoms: HIV, lupus, multiple sclerosis, chronic fatigue syndrome, etc. Vague symptoms are hard to diagnose. Getting CAT scans or MRIs with each new symptoms is an expensive waste of resources. However, a hypochondriac may demand these tests.


Hypochondriacs have trouble accepting that normal, healthy people also have physical symptoms. Acute hypochondria can ruin an individual's life and the lives of people he/she cares about. At first hypochondria looks like kooky, neurotic behavior, but it often leads to a devastating obsession. It is impossible to talk them out of this obsession, and offering additional medical advice will only backfire.

Officers, you will still have to respond to requests for assistance from the fire department. You will also have to cover a shift or two for the hypochondriacs in your station. But there is good news. The first good news is your inevitable overtime. The second good news is that your hypochondriac beat partner and/or Joe Civilian is probably not contagious.

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