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.
Alison Zollars Arthur knows better. As the owner of a skin and body wellness center, the 44-year-old Houston resident regularly counsels her clients about the importance of a healthy diet. But too often, she pigs out on fast food, salty snacks, and wine.
"If I have one glass of wine, I will have more," she says. "The voice saying, 'You really shouldn't,' shuts down, and I can do anything I want to."
That "voice" is the dorsolateral prefrontal cortex, an area of the brain that handles planning,...
"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
Seranno finally laid down the law and made her husband see a doctor, who put
him on medication used to treat obsessive-compulsive disorder. While it's still
an almost nightly battle to get him to take his pills, he's become a happier
person. "As his wife, I feel as though it's my responsibility to help him live
the best life possible," Serrano says, "even if that means a little tough love
from time to time. You do what you can to help them."
Do you think your beloved has hypochondria? If so, take these four
Check up. First, get your spouse to see a doctor you trust, says
Fallon. Seeking a second opinion is fine, but if both doctors agree there's
nothing physically wrong, suggest a visit to a psychiatrist.
Be caring but firm. Carla Cantor, author of Phantom Illness:
Shattering the Myth of Hypochondria, recommends helping your spouse tie
symptoms to stress, or emotional upheavals.
Don't dwell on illness. Encourage your spouse to verbalize fears
about health, but don't join in, Cantor advises. If you feel yourself getting
anxious, gently change the subject.
Consider couples therapy. While cognitive behavioral therapy can help
the person with hypochondria, examining how the disorder affects your
relationship will help you work together to battle it.