Sometimes recognizing hypochondria takes a little time.
It wasn't until Rebecca Serrano (not her real name) had been married for a
full year that she realized her new husband had a problem. Once, he was
convinced he had testicular cancer -- but he wouldn't go to the doctor. Another
time, when he got a sinus infection, he thought it was a brain tumor.
When Debra Yergen switched jobs, she got the cold shoulder from people she considered close friends.
Yergen had spent three years working at a community hospital in Washington state, but when she started her new position as director of communications for a regional medical center that competed with the hospital, her old work buddies disappeared -- presumably because she left for the competition.
"At first, I thought my friends were just busy," Yergen, now 40, says. "But when the holidays rolled...
"This anxiety literally led him to feel more pain than a normal person would
feel. He had panic attacks and was in such a slump over any minor illness,"
says the 30-year-old Indianapolis stay-at-home mom.
What her husband does have, however, is hypochondria (health care
professionals use the less pejorative term "heightened illness concern"). Both
describe someone who has unexplained medical symptoms and worries about having
a serious illness. Hypochondria is recognized as a true mental disorder,
affecting approximately 5% to 10% of us.
Symptoms of Hypochondria
People with hypochondria are catastrophizers, says Brian A. Fallon, MD, an
associate professor of clinical psychiatry at New York State Psychiatric
Institute. The disorder can take many forms. Some people become anxious or
depressed, and others become obsessed with learning everything they can about
symptoms and illnesses. Some go from doctor to doctor, hoping to find a
diagnosis or confirmation of their fears, while others are afraid to seek
treatment at all. With the latter, it's often a worried spouse, like Serrano,
or a family doctor who encourages them to get psychiatric help.
Hypochondria seems to be a form of obsessive-compulsive disorder, and it
might be caused by an imbalance of serotonin, a mood stabilizer, or other
chemicals in the brain. There's no cure, but cognitive behavioral therapy,
antidepressant medications, or a combination of the two help some people.
Hypochondria can be just as hard on a partner. "It can lead to great strain
in the relationship to have the repetitive need for reassurance driving all
interactions," Fallon says.
Dealing With a Spouse With Hypochondria
For the spouse of someone with hypochondria, canceled vacations, 24-hour
caretaking, the cycle of frustration and guilt for not being supportive enough,
and worrying that you might be overlooking a serious illness all take their