by Rick Alan and Deanna M. Neff, MPH
Hypochondria is a health anxiety disorder. It is often chronic. A person with hypochondria is often very anxious about their health. A hypochondriac fears that a real or imagined minor physical symptom is a sign of serious illness. Even when several doctors assure them otherwise, a hypochondriac is convinced that they have a serious disease. Psychiatric counseling and medications can relieve some, if not all, of the anxiety and suffering. Left untreated, hypochondria can be debilitating and affect daily function.
It is often difficult to identify a specific cause for hypochondria.
Risk Factors TOP
Factors that may increase your risk for hypochondria include:
You will be asked about your symptoms and medical history. A physical exam will be done. If the exam shows no disease, your doctor may begin to suspect hypochondria. If further testing also fails to uncover a known medical condition, your doctor may diagnosis you with hypochondria if:
Physician Relationship and Monitoring
Effective treatment involves consistent, supportive care from one doctor, often along with a mental health professional. Finding a healthcare provider who is willing to listen to your concerns, provide support, and avoid needless testing is key to recovery.
You may feel overwhelmed by your symptoms. They may even seem to control your life. Schedule frequent visits, regardless of symptoms, with one doctor you can trust. Expect your doctor to:
Psychotherapy such as cognitive behavior therapy and behavioral stress management can be effective in treating hypochondria. This involves regular counseling with a psychotherapist to recognize false beliefs, understand anxiety, and stop anxious behaviors.
Antidepressant medications (such as serotonin reuptake inhibitors and tricyclic antidepressants) may help relieve the symptoms of hypochondria, but there is limited evidence.
There are no current guidelines to prevent hypochondria because the cause is not known.
American Counseling Association
American Psychiatric Association
Canadian Psychiatric Association
Canadian Psychological Association
Abramowitz JS, Schwartz SA, Whiteside SP. A contemporary conceptual model of hypochondriasis. Mayo Clin Proc. 2002;77(12):1323-1330.
Antidepressant use in children, adolescents, and adults. US Food and Drug Administration website. Available at:
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Updated December 23, 2014. Accessed January 26, 2016.
Greeven A, van Balkom AJ, Visser S, et al. Cognitive behavior therapy and paroxetine in the treatment of hypochondriasis: a randomized controlled trial. Am J Psychiatry. 2007;164(1):91-99.
Thomson AB, Page LA. Psychotherapies for hypochondriasis. Cochrane Database Syst Rev. 2007;(4):CD006520.
Last reviewed December 2015 by Adrian Preda, MD
Last Updated: 12/20/2014
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