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HARD TIMES · HEALTH ANXIETY

Health Anxiety: When Di Worry Turn Into Di Sickness

Flutter for your chest, headache wey last two days, search bar at midnight. If you dey spend plenty of your life dey convinced say something seriously dey wrong, you no weak and you no dey alone. Na wetin health anxiety actually be, why reassurance no dey stick, and wetin dey help you get your days back be dis.

Woman wey stand for forest with her hands on her head

Foto by Alex Sheldon for Unsplash

Quick tips

  • Delay di check fifteen minutes, watch am pass.
  • Close di tab instead of to search symptoms.
  • Tally your checks before you try to shrink dem.

E usually dey start small. Twinge somewhere wey e never twinge before. Mark on your skin wey you no remember. Headache on day three. Reasonable person go notice am and move on. You notice am and your belle drop, because part of you don already skip ahead to di worst possible thing wey e fit mean.

So you check. You press di spot again to see if e still dey hurt. You open your phone and type di symptom into search bar, and di results carry you go somewhere terrifying. You ask somebody wey you love whether dis one look normal to dem. Maybe you book appointment, or maybe you no fit bring yourself to, because to go fit confirm di fear. For small while di worry go quiet. Then e go come back, often worse, attach to something new.

If any of dat feel familiar, wetin you dey live with get name. Clinicians dey call am health anxiety, or illness anxiety disorder, and di older word for am na hypochondria. We go skip dat old word, because dem use am as insult, and nothing dey about dis one wey deserve mockery. Dis na real, exhausting, treatable pattern of anxiety. Di fear genuine even when di danger no dey.

Di wicked part: your worry dey counterfeit di symptoms

Na di trap wey dey make health anxiety so convincing be dis. Anxiety no be just feeling for your head. Na full-body event. Heart wey dey race or dey pound, tight chest, shortness of breath, dizziness, stomach trouble, tingling, headaches, muscle aches. Dat ones na normal symptoms of to dey anxious.

Dem also be, of course, exactly di sensations wey you dey scan your body for.

So di worry dey produce di very signs wey you dey read as proof. Your heart dey pound because you frightened, and di pounding dey become new evidence say something dey wrong with your heart, wey dey frighten you more. Di Mayo Clinic describe dis directly: people with illness anxiety dey become intensely alarmed by minor or normal bodily sensations and dey read serious meaning into dem. Di body dey do ordinary body things. Di anxious mind dey translate every one of dem as danger.

Na why e no be matter of "just calm down." You dey caught for feedback loop where di looking dey create more to look at.

Why reassurance dey wear off so fast

Almost everybody with health anxiety don try di obvious fix. Get checked. Get di test. Ask di doctor straight out. And e dey work. For afternoon, sometimes one day, di relief enormous.

Then di doubt dey creep back. Wetin if dem miss something. Wetin if di test wrong. Wetin about dis new thing, wey di old test no cover. Di relief never dey hold, and you need another hit of am sooner pass last time.

Dat one no be flaw for you. Na how reassurance dey behave with anxiety. Every time to check or to ask make di fear drop, your brain dey file away lesson: na so we take make di bad feeling go away, do am again next time. Di behaviors wey dey soothe you for di moment dey quietly teach your brain say di danger na real and say di only safety na more checking. Di relief na di hook.

Di NHS list di usual forms wey dis one dey take. To constantly dey check your body for lumps, pain, or tingling. To dey ask people again and again whether you seem alright. To dey search health information online for hours. To dey worry say doctor or scan miss something. Some people go di opposite way and dey avoid all of am, dey skip appointments and dey refuse to watch anything medical, because to look too closely unbearable. Cleveland Clinic note say dis avoidance dey backfire too, since to dodge care dey usually grow di fear instead of to settle am.

Wetin actually dey loosen di grip

Di goal here no be to stop to care about your health. Na to stop di worry from to run your day. Di thing wey dey help most na to learn to sidon with uncertainty without to immediately reach for di checking behavior wey dey make am briefly disappear. Dat one sound simple and e genuinely dey hard, so go gently and go for small steps.

Count di rituals before you change dem

For few days, just notice. How many times you check your body today? How many times you ask for reassurance, or look something up? No judge di number. Di NHS suggest to keep dis kind tally, because most people dey shocked by how often dem dey do am, and you no fit shrink habit wey you no fit see. Then aim to bring am down small, no be to zero overnight. Few fewer checks dis week pass last week na real progress.

Delay di urge instead of to fight am

When di pull to check or search hit, you no need to win wrestling match against am. Just put gap between di urge and di action. Tell yourself say you go wait fifteen minutes, and for dat minutes go do something wey dey use your hands or your body. Take waka. Call friend about something else entirely. Anxiety urges dey rise and fall like waves, and surprising number of dem dey pass on dem own if you no feed dem right away.

Write di worry next to steadier thought

Get di fear out of your head and onto paper. Draw two columns. On di left, di anxious thought exactly as e sound: "Dis headache mean say something seriously dey wrong." On di right, more balanced version wey you go offer friend: "Headaches usually na stress, dehydration, or long screen day, and dis one don do wetin dat ones dey do." You no dey try to argue yourself out of fear or to prove say you fine. You dey practice to hold second, calmer possibility for view at di same time.

Pick one doctor and one sane rule

Plenty people with health anxiety dey end up with care wey scatter across multiple doctors and repeated tests, wey dey usually add fuel instead of peace. E dey help to get one clinician wey you trust and agreement about how checking go work, so reassurance dey come from steady place instead of desperate midnight search. And di internet deserve im own rule. Symptom searches almost always dey serve up di rarest, scariest explanation, never di boring likely one. If you no fit stop at one look, di kinder move na to close di tab.

Slowly take your life back

Health anxiety dey shrink people. You dey skip di workout because you dey scared of your heart rate. You dey drop plans because to dey out feel risky. Each thing wey you avoid dey quietly confirm say e dangerous. So add things back for small doses. Di waka, di gym, di dinner, di trip. To return to ordinary life na part of di treatment, no be reward for to finish am.

When to bring in real help

None of dis na substitute for proper care, and you no need to white-knuckle am alone. If di worry dey take up real chunks of your day, dey keep you from work or sleep or di people wey you love, dat one na di signal to talk to doctor. Di NHS put am plain: seek help when di worry stop you from to live normal life, or when self-help on im own no dey get you anywhere.

Di good news here solid. Health anxiety dey respond well to treatment. Di most effective approach na kind of talk therapy wey dem call cognitive behavioral therapy, or CBT, wey both di Mayo Clinic and Cleveland Clinic point to first. E dey work directly on di loop wey we don describe, dey help you reinterpret dat body sensations and gradually let go of di checking and reassurance rituals wey dey keep di fear alive. For some people, doctor fit also suggest medication. Real professional fit tailor dis to you far better pass any article, and to reach for dat help na strong move, no be failure of willpower.

One last thing, because e matter. To get health anxiety no mean say you no go ever get sick, and e no mean say every worry wey you get na false. E mean say your alarm system don turn up too loud and start to dey go off at ordinary things. Di work no be to stop to care about your body. Na to turn dat alarm back down to volume wey you fit live with, so your health dey take up di right amount of space for your life and dey give di rest of am back to you.

Sources

Before you go, small word about care

KEEP CALM dey give free educational self-help tools. This no be medical advice, diagnosis, or therapy, and e no fit take the place of professional care. If something for here feel like more than everyday stress, to reach out to a professional na strong, sensible step.

If you are in crisis or thinking about harming yourself, you are not alone. In the US, call or text 988 (Suicide & Crisis Lifeline, 24/7), text HOME to 741741 (Crisis Text Line), or call 911 in an emergency.