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Health Anxiety

Health anxiety is a disorder. There are several disorders that are defined by excessive anxiety related to somatic symptoms or an illness or condition. For youth with these disorders there is a preoccupation with one or more somatic symptoms or having or getting a serious illness.

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While children with health anxiety do not always have a medical condition, some do. If your child has a chronic medical condition such as asthma, food allergies, diabetes, and others, s/he can also have a health anxiety disorder. But how do you tell what is reasonable worry that can understandably occur with a life threatening allergy to peanuts, versus whether your child might have a health anxiety disorder? In order to make this determination it is recommended you seek an assessment by a medical or mental health professional. However, as a parent you can contribute to that assessment by starting to observe whether your child’s behaviours are a result of fear or fact seeking. Children with excessive anxiety about their medical condition are ruled by fear. Fear tells them not to go to a friend’s home because their medical condition might flare up, or convinces them to stay home sick from school because the teacher might not be able to help. Fear bosses them about on a daily basis even when you have provided information to calm their worries, many, many times, or have explained why their behaviours are unnecessary. In fact, you know fear is in charge when you seem to be providing the same information repeatedly but your child never feels better. Fact seeking on the other hand allows a child with a chronic condition to understand the dos and don’ts to managing and living with his/her condition. Although s/he may have some worry about how to cope, s/he seeks out relevant facts that make him/her feel confident to cope and thrive. This can include identifying community members who will help when you, the parent, are not available, and taking reasonable precautions outlined by your child’s doctor to ensure his/her condition remains stable. As a result, your child is able to engage in his/her daily life with minimal disruption and if s/he experience small doses of worry, this creates little interference.

SIGNS & SYMPTOMS

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  • No one understands me.

Physical feelings:

  • Irritability
  • Tiredness or fatigue
  • Muscle pains
  • Headaches
  • Stomachaches

Emotions:

  • Anxiety or worry
  • Sadness
  • Anger
  • Frustration
  • Guilt

Behaviors:

  • Tantrums
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  • Excessive body checking
  • Reassurance seeking
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  • School refusal

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  • School absenteeism
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How health related anxiety impacts the child at different ages:

Young children typically worry about a single symptom like a headache or stomach pain, or a condition they have, rather than a specific illness. For some this worry stems from a lack of understanding, and can be managed through basic education, but for others the worry persists. As children mature, but while their capacity for abstract reasoning remains undeveloped, some children may engage in extreme leaps of logic such as worrying about dying from a cold or catching cancer. As children get older, however, their thinking evolves and specific worries may become more complex or future oriented. For example, “What if that pain means I have Leukemia?” or, “What if the effects of MSG and GMO foods build up in my blood stream and I get cancer in my thirties?” Despite the variety of what worries youth, most youth with health related anxiety are unable to recognize that their chronic focus on symptoms or illness, and related behaviours, is unreasonable because they are so anxious. The anxiety trumps logic. In addition, the negative impact of the ongoing, constant worry becomes more disruptive and pervasive over time. It may take less energy to reassure your seven year old that leg pain is probably bone growth and not cancer when the worry has existed for a week; whereas when it has persisted for months or even years, your child may become increasingly demonstrative and aggressive in his demands to have a second or even third opinion from a “more qualified” professional. The bottom line is that excessive and uncontrollable worry about health is not a typical characteristic for youth, and left unaddressed can significantly negatively impact his/her quality of life.

My Anxiety Plan (MAPs)

MAP is designed to provide children/teens struggling with anxiety with practical strategies and tools to manage anxiety. To find out more, visit our My Anxiety Plan website.

Health Anxiety
Health anxiety is a disorder. There are several disorders that are defined by excessive anxiety related to somatic symptoms or an illness or condition. For youth with these disorders ...

Read more about this story

Health Anxiety
Health anxiety is a disorder. There are several disorders that are defined by excessive anxiety related to somatic symptoms or an illness or condition. For youth with these disorders ...

Read more about this story

Health Anxiety
Health anxiety is a disorder. There are several disorders that are defined by excessive anxiety related to somatic symptoms or an illness or condition. For youth with these disorders ...

Read more about this story