Everything You Should Know about Hypochondriasis

With hypochondriasis, people feel like they're ill all the time. In this article, we'll explain what it is and some treatment options.
Everything You Should Know about Hypochondriasis
Leonardo Biolatto

Written and verified by the doctor Leonardo Biolatto.

Last update: 27 May, 2022

Hypochondriasis, or hypochondria, is also known as a somatoform disorder. It’s a psychological clinical situation where someone thinks they’re suffering from a very serious pathology. In addition, they worry excessively about their health, afraid that they’ll get sick.

Therefore, these concerns make hypochondriac patients think any sign or symptom, real or imagined, is a serious problem. As a result, their state of health becomes an obsession.

To varying degrees, hypochondriasis affects up to ten percent of the population. Also, it’s more common in family environments where one or more members suffer from it. Although hypochondriasis isn’t genetic, there are some families that are more aware of it than others.

Historically, the definition of hypochondriasis dates back to ancient Greece. In fact, the students of Hippocrates, considered the first doctor, described it in their treatises. Often, they linked it to states of melancholy and sadness.

This connection to depression isn’t wrong. In addition, it’s also connected to states of anxiety and anguish. Although they’re not the same, these symptoms can often show up together.

Also, it’s important to differentiate hypochondria from pathophobia. In pathophobia, the people are scared of having a serious illness, so they avoid medical consultations at all costs. This is because they think the results will be tragic.

On the other hand, hypochondriacs go to the doctor more often to get more tests because they’re convinced that they have a disease that doctors need to find. They go through different professionals to find a diagnosis. Generally, they never receive one.

The makeup of hypochondriasis

A woman worrying on her couch.

People with hypochondriasis have certain characteristics and components in common:

  • Obsession with the body: Hypochondriacs constantly check their bodies for signs of serious illness.
  • Concern about health news: These people check news related to health issues looking for the link between these news items and their own situations. Also, they imagine that any outbreak, epidemic, or increase in a disease will affect them.
  • Verbalization of fictitious symptoms: In hypochondriasis, the topic of conversation always deals with diseases, tests they need, the possibility of getting sick and medical consequences.
  • State of anxiety: While hypochondria isn’t a form of anxiety disorder, it’s common in anxious people. They live in a state of anticipation towards the seriousness of a disease they could possibly suffer from.
  • Excessive medical visits: Hypochondriacs make many appointments with health professionals. Also, they change doctors frequently. Generally, they’re looking for someone to diagnose what they’ve already self-diagnosed.
  • Loss of social lifeBy excessively focusing on diseases, hypochondriac patients separate themselves from social activities and from circles of family and friends. This has a negative impact because they build walls to continue monitoring their obsession.

Risk factors for hypochondriasis

Like any disease, we know that there are factors that make someone more likely to suffer from hypochondriasis. These are the so-called risk factors. However, this doesn’t mean that these factors will make someone a hypochondriac, but they contribute to it.

One of the risk factors is having a close relative experience bad medical errors. Then, they feel like doctors can always make mistakes and miss serious illnesses.

As we already mentioned, the family environment is also a risk factor. There are hypochondriac families where, since childhood, people receive messages about the severity of diseases and symptoms. Also, there are families that overreact to certain signs of common illnesses.

Both the family environment and the surrounding social environment can make people believe these wrong things about their health. They often think that something minor is very serious.

Treatments for hypochondriasis

A person talking to her doctor about her fears.

For hypochondria, the most effective treatments are cognitive-behavioral psychology therapiesOf course, this is true as long as they’re carried out by professionals trained in this area.

The goal of therapy is for the person to be able to free themselves from the anguish generated by the obsession with disease. Also, the goal is to lose the obsessive practices. You have to achieve a daily routine where not everything revolves around the possibility of getting sick.

In general, cognitive-behavioral therapies offer the patient tasks to perform. For example, this includes limiting medical consultations and not talking about diseases so much.

Treatment can advance if there’s support from the person’s inner circle. Otherwise, it’s very hard to make progress. The support from close family and friends is practically the key to successful treatment.

All cited sources were thoroughly reviewed by our team to ensure their quality, reliability, currency, and validity. The bibliography of this article was considered reliable and of academic or scientific accuracy.

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  • Salkovskis, Paul M., and Katharíne A. Rimes. “El enfoque cognitivo-comportamental para la ansiedad por la salud (” Hipocondría”).” Revista de Psicopatología y Psicología Clínica 2.2 (1997): 111-122.
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This text is provided for informational purposes only and does not replace consultation with a professional. If in doubt, consult your specialist.