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    Learn more about health anxiety

    Health anxiety is a pattern of persistent, excessive worry about having or developing a serious illness, which continues despite medical reassurance or the absence of significant symptoms. It often involves hypervigilance to bodily sensations, frequent checking, repeated medical consultations, and difficulty accepting reassurance that lasts. Health anxiety exists on a spectrum: at its most severe, it may meet the diagnostic criteria for illness anxiety disorder (IAD), also known as hypochondria, which is a recognised condition in the DSM-5. Many people experience health anxiety below that threshold but still find it significantly affects their quality of life.

    Health anxiety is characterised by the cycle of worry, checking, and temporary relief that reassurance brings, followed by the return of anxiety.

    Common signs

    • Persistent worry about having a serious or life-threatening illness despite medical reassurance
    • Frequent checking of the body for signs of illness, or conversely, avoiding any health-related information
    • Interpreting ordinary bodily sensations, a headache, a twinge, a change in heartbeat, as evidence of something serious
    • Repeated medical consultations or requests for tests, with only brief relief from the results
    • Difficulty focusing on daily life because of health-related thoughts
    • Researching symptoms extensively, which typically increases rather than reduces worry

    Other common experiences

    • Anxiety that shifts from one health concern to another once one is resolved
    • Avoidance of medical settings, health-related content, or conversations about illness
    • Significant impact on relationships, as others struggle to provide the reassurance sought
    Only a qualified mental health professional can assess whether health anxiety meets the threshold for illness anxiety disorder or another diagnosable condition. Health anxiety frequently co-occurs with generalised anxiety disorder (GAD), OCD (obsessive-compulsive disorder), and depression.

    Health anxiety responds well to structured psychological treatment, particularly approaches that interrupt the reassurance cycle and change the relationship with anxious thoughts.
    • CBT (Cognitive Behavioural Therapy) CBT for health anxiety targets the specific thought patterns, checking behaviours, and reassurance-seeking that maintain the cycle, using exposure and cognitive restructuring to build more flexible responses.
    • ACT (Acceptance and Commitment Therapy) ACT helps you change your relationship with health-related thoughts rather than trying to suppress or disprove them, reducing their ability to dominate daily life.
    • Mindfulness Mindfulness-based approaches build the ability to notice anxious thoughts about health without immediately escalating them, reducing the automatic spiral from sensation to catastrophe.
    • Schema therapy Schema therapy is useful when health anxiety is rooted in deeper beliefs about vulnerability, danger, or the need for certainty, 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. Health anxiety can make the process of finding a therapist feel like another thing to worry about. 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 health anxiety, or browse the directory.
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    Our therapist network for health anxiety

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

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    Finding the right therapist can make all the difference. Explore 2,500+ carefully selected professionals to find yours.
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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 health anxiety, these areas might be worth a look too.
    Illness anxiety disorder (IAD) or hypochondria
    Illness anxiety disorder (IAD) or hypochondria
    Anxiety
    Anxiety
    OCD
    OCD
    Chronic illness
    Chronic illness
    GAD: Generalised anxiety disorder
    GAD: Generalised anxiety disorder

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    Get help with health anxiety

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    FAQs about health anxiety

    Health anxiety involves persistent, excessive worry about having or developing a serious illness, despite medical reassurance or the absence of significant symptoms. Unlike ordinary health concern, health anxiety is disproportionate to actual risk, difficult to set aside, and tends to return quickly after reassurance. It can involve frequent checking of the body, repeated medical consultations, or avoidance of anything health-related. When it significantly impairs daily life, it may meet the threshold for illness anxiety disorder.

    Reassurance-seeking, including repeated medical visits, internet searches, or asking others for confirmation that you are not ill, tends to provide brief relief but reinforces the anxiety cycle over time. Avoidance of medical information or bodily sensations can also maintain the pattern. Stress, depression, and a personal or family history of serious illness are common contributing factors.

    Cognitive Behavioural Therapy (CBT) is the most evidence-based treatment for health anxiety, addressing the thoughts, behaviours, and attention patterns that maintain the worry cycle, including reassurance-seeking and hypervigilance to bodily sensations. Acceptance and Commitment Therapy (ACT) can help by changing the relationship with anxious thoughts rather than trying to eliminate them. Mindfulness-based approaches reduce the automatic escalation of worry.

    It's Complicated can match you with therapists experienced in anxiety disorders, including health anxiety. You complete a short survey about what you are experiencing, and our psychologists identify suitable practitioners available online or in person. You can also browse the directory to find therapists who list health anxiety or OCD-spectrum concerns as a specialism. It's Complicated is also free to use.

    Health anxiety can occur alongside a genuine physical condition, which can make it more difficult to assess and treat. A person with a chronic illness may have reasonable concerns about their health alongside disproportionate anxiety about new or worsening symptoms. A therapist experienced in health anxiety can work with this complexity, helping to distinguish between appropriate vigilance and anxiety-driven responses without dismissing real physical experience.

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