It's Complicated
    1. Illness anxiety disorder (IAD) or hypochondria
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    1. Illness anxiety disorder (IAD) or hypochondria
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    Find a therapist for illness anxiety disorder (IAD) or hypochondria

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    Learn more about illness anxiety disorder (IAD) or hypochondria

    Illness anxiety disorder (IAD), previously known as hypochondria or hypochondriasis, is a recognised condition in the DSM-5 involving persistent preoccupation with having or developing a serious illness, despite low or absent physical symptoms or repeated medical reassurance. IAD sits at the clinical end of the health anxiety spectrum: where health anxiety describes a broader worry pattern, IAD is the formal diagnosis when that preoccupation is severe enough, lasting at least six months, and causes significant distress or impairment in daily functioning. Some people with IAD seek medical care excessively and frequently; others avoid medical settings entirely out of fear of a serious diagnosis.

    IAD is characterised by a preoccupation with illness that is disproportionate to actual physical symptoms and does not ease with reassurance.

    Common signs

    • Persistent conviction of having or being at risk of a serious illness, despite medical testing or reassurance
    • Intense anxiety triggered by reading about illness, hearing about others being sick, or noticing minor bodily changes
    • Repeated medical consultations, multiple opinions, or extensive testing that provides only brief relief
    • Conversely, complete avoidance of doctors, hospitals, or health-related information out of fear of what might be found
    • Significant time spent researching symptoms, which typically increases rather than reduces anxiety
    • The preoccupation shifting from one illness concern to another once a specific fear is addressed

    Other common experiences

    • Difficulty being reassured by clear medical results
    • Impact on relationships, as others cannot provide the level of reassurance needed
    • Co-occurring anxiety disorders or OCD (obsessive-compulsive disorder)
    Only a qualified mental health professional can assess whether these experiences meet the criteria for illness anxiety disorder and distinguish it from health anxiety, somatic symptom disorder, or OCD.

    IAD responds well to structured psychological treatment, particularly approaches that target reassurance-seeking and the underlying intolerance of uncertainty about health.
    • CBT (Cognitive Behavioural Therapy) CBT for IAD addresses the specific thoughts, checking, and reassurance-seeking behaviours that maintain the preoccupation, using exposure and response prevention to reduce compulsive patterns.
    • ACT (Acceptance and Commitment Therapy) ACT helps build a different relationship with uncertainty about health, reducing the drive to seek certainty through repeated checking or medical visits.
    • Mindfulness Mindfulness-based approaches build the capacity to notice health-related thoughts without immediately escalating them, reducing the automatic spiral from physical sensation to catastrophic interpretation.
    • Schema therapy Schema therapy is useful when IAD is rooted in deeper core beliefs about vulnerability or danger, working at a more foundational level than symptom-focused approaches alone.
    Choosing an approach isn't something you have to do alone. IC's matching can pair you with a therapist whose approach suits your situation. Get matched.

    It's Complicated is a therapist-founded mental health platform connecting clients with verified practitioners across Europe and globally, in over 60 languages. We work with over 2,500 vetted therapists, with in-person availability in Berlin, Amsterdam, Barcelona, Lisbon, Vienna, and other major cities, alongside online sessions worldwide. It's Complicated is free to use, and you pay your chosen therapist directly at rates they set. Illness anxiety disorder can make the process of reaching out for help feel like another source of worry. Our matching service is built to remove that friction. You complete a short survey, our psychologists combine data-driven insights with human judgement to identify the right therapists for your situation, and you choose from a shortlist of strong candidates. You can also browse our directory directly if you'd prefer to choose yourself. Get matched with a therapist who specialises in illness anxiety disorder, or browse the directory.
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    It's Complicated is not suitable for acute psychological or medical crises or emergency situations.If you are in a serious crisis and need urgent help, please contact a local emergency service or use one of these resources instead.

    Our therapist network for illness anxiety disorder (IAD) or hypochondria

    Finding the right therapist can make all the difference. Explore 2,500+ carefully selected professionals to find yours.

    Our therapist network for illness anxiety disorder (IAD) or hypochondria

    Finding the right therapist can make all the difference. Explore 2,500+ carefully selected professionals to find yours.
    Get matched
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    Related topics

    Mental health is rarely just one thing, and different topics often go hand in hand. If you're exploring help with illness anxiety disorder (IAD) or hypochondria, these areas might be worth a look too.
    Health anxiety
    Health anxiety
    Anxiety
    Anxiety
    OCD
    OCD
    GAD: Generalised anxiety disorder
    GAD: Generalised anxiety disorder
    Chronic illness
    Chronic illness

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    RESPONSE TIME UNKNOWN
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    €80 / session80
    Berlin
    In-person and Online
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    Laura Nickel

    Laura Nickel

    Cognitive Behavioural Therapy (CBT) Psychotherapist & Psychological Counsellor
    Depression • Illness anxiety disorder (IAD) or hypochondria • Stress • ADHD • Social anxiety • Psychosomatic disorders • Expat life
    USUALLY RESPONDS WITHIN 24 HOURS
    Depression • Illness anxiety disorder (IAD) or hypochondria • Stress • ADHD • Social anxiety • Psychosomatic disorders • Expat life
    €120 / session120
    Rüsselsheim am Main
    Online only
    Kathrin Strohmaier
    RESPONSE TIME UNKNOWN

    Kathrin Strohmaier

    Kathrin Strohmaier

    Humanistic Psychotherapist & Gestalt Therapist
    Anxiety • Psychosomatic disorders • Relationships • Burnout • Depression • GAD: Generalised anxiety disorder • Illness anxiety disorder (IAD) or hypochondria
    RESPONSE TIME UNKNOWN
    Anxiety • Psychosomatic disorders • Relationships • Burnout • Depression • GAD: Generalised anxiety disorder • Illness anxiety disorder (IAD) or hypochondria
    €80 / session80
    Vienna
    Online only
    Jan Klatt
    USUALLY RESPONDS AFTER 24 HOURS

    Jan Klatt

    Jan Klatt

    Psychological Psychotherapist & Cognitive Behavioural Therapy (CBT) Psychotherapist
    Psychosomatic disorders • PTSD • Addictions • Insomnia & sleep disorders • Illness anxiety disorder (IAD) or hypochondria • Grief & loss • Economic problems
    USUALLY RESPONDS AFTER 24 HOURS
    Psychosomatic disorders • PTSD • Addictions • Insomnia & sleep disorders • Illness anxiety disorder (IAD) or hypochondria • Grief & loss • Economic problems
    €90 / session90
    Lübeck
    In-person, Online and Text
    Asu Akdemir Yalazkan
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    Asu Akdemir Yalazkan

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    Counsellor & Psychological Counsellor
    Academic or educational problems • Acute stress disorder • Anxiety • GAD: Generalised anxiety disorder • Grief & loss • Illness anxiety disorder (IAD) or hypochondria • Panic attacks
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    Istanbul
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