Living with health anxiety or hypochondriasis can be very challenging, and one of the ways we often deal with our anxiety is to self-diagnose. In most people (read: non-hypochondriacs), self-diagnosis can be a helpful tool to pin down a particularly difficult diagnosis, but for hypochondriacs, self-diagnosis always leads to disaster.
Here are a few things you should remember:
- Even with the wide availability of medical information on the internet, the best place to get a diagnosis is with a doctor who is trained and experienced to discover the root causes of your symptoms. Doctors have something we don’t: objectivity. When you’re a hypochondriac, you’re too involved with your diagnosis to objectively diagnose yourself.
- Just because your symptoms match those of a fatal or disfiguring disease doesn’t mean you have that disease. In fact, almost all human diseases — from the benign to the worst — have symptoms similar to those of the common flu or other bacterial or viral infection. There is very rarely a “perfect” symptom, one that definitively proves that you have a disease. So, in short, stop searching for the definitive symptom. You won’t find one.
- You will not find anything that gives you comfort. Googling your symptoms is a sure-fire way to get bad results. Just think about how search engines work and you’ll soon realize that the odds are stacked against you. A search engine is designed to return the most common references to your keywords. So why does the search “headache” often lead directly “brain tumor?” Frankly, because most people with headaches don’t waste their time developing web content about it.
- Almost every site you visit will mention that it might be cancer, so get it checked out. They do this not only for your own benefit, but also to cover themselves legally. If you stumbled upon a site that claimed your headaches were nothing, and it turned out to be a tumor, you might sue the owner of that site and claim that the information urged you not to get treatment. Rest assured, the odds are in your favor that your symptoms are nothing but the result of stress and anxiety. These disclaimers are not intended to be analyzed by hypochondriacs, so don’t pay any attention to them.
Remember, it’s important to stay involved in your own health care. Too many people pretend that doctors are invincible or that they don’t make mistakes, but don’t use this as an excuse to self-diagnose. If one doctor fails you, don’t go running to Google. Instead, find another doctor. Second, third, and even fourth opinions are very common in medicine.
Just to give you an example, my father has a congenital vascular defect in his leg. About fifteen years ago, he began experiencing severe pain and spent weeks unable to walk. His leg turned blue as it was starved of oxygen due to a defective valve in his hip. His first doctor recommended amputation. The second basically shrugged and didn’t know what to do. The third recommended amputation. The fourth recommended a compression boot and blood thinners. My father still has his leg. Sure, it gives him problems from time to time, but if he had listened to his first doctor, he’d now be in a wheelchair or on a prosthesis.
WrongDiagnosis.com has a great page entitled “Self Diagnosis Pitfalls.” I highly recommend you read it, especially the second entitled, “Why Doesn’t Self-Diagnosis Work?” Read it now.
And stay away from the search engine! Unless, of course, you’re trying to figure out how to install a new water garden, in which case, Google on my friend, Google on.


5 comments
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May 16, 2007 at 4:13 pm
Leila V
Josh:
If only it were as easy as just stopping. I think an adequate analogy would be to tell someone with an anxiety disorder to stop worrying or an eating problem to just stop eating. I know that I should not self-diagnose but I am compelled to do it anyway.
The article suggested seeking advice from a professional. The problem is that I have symptoms everyday. I cannot afford—time or money—to go to the doctor everyday. Similarly, I don’t want my doctor knowing that I’m a hypochondriac. That is a surefire way to be dismissed off hand for all future visits. The problem with getting multiple opinions is that for hypos, we doctor shop until we find a doctor that gives us a grim diagnosis.
May 18, 2007 at 9:17 am
" The Dangers of Self-Diagnosis for Mental Illness" by Finding Your Marbles - A Mental Health Survival Guide
[...] Josh over at We Worry: A Blog for the Anxious, recently wrote Why You Shouldn’t Self-Diagnose, an article on the risks of self [...]
May 19, 2007 at 1:36 pm
Austin
You know what? This is a good entry because many do take to the net and look things up for their medical care. I personally do not because I don’t know what it is I’m looking at. If and when my doctor says, yes you have this I’ll look up information on it. One place I DON’T GO is to forums about the disorder because there are opinions there and if I want an opinion from a lay person I’ll ask my 3D friends, not complete strangers. The point is, the information on the net is wide and varied, the same as our medical history. We as informed patients need answers that relate to our specific circumstances. That is hard to do if we’re out grasping at straws on the net via search engines. ”
I’ll say this too, medical information on the net can be helfpul for those with little or no insurance but the pitfalls of looking up “what’s wrong with me.” are greater than the cost of going to the doctor for tests. That’s what I think anyway. But many don’t have the luxury of going to the doctor “to see.”
nice article
Austin
May 19, 2007 at 8:13 pm
Stephen Rees
But self diagnosis can sometimes be speedier than expecting a GP or even a specialist to put two and two together. For example, I came off my bike in a bike to bike crunch (so not exactly a high speed collision) and broke my wrist. The orthopedic surgeon had a hard time sticking the bone back together. He said “It looked like mush.” Bu that was all he said, and the radiologist who must have looked at the x-rays said nothing either. I had to ask my GP for a bone density scan to prove that I had osteoporosis. Just because I am male should not have eliminated that diagnosis from the professionals’ minds.
It has taken three months of nagging to get a simple broad spectrum antibiotic for otitis media. And a very young locum GP insisted on a chest xray first! I accept that antibiotics are over prescribed, but to relieve a painful and deafening condition I think asking for some is quite reasonable!
May 20, 2007 at 12:05 am
Jef Menguin
thank you post posting this entry. This is of big help.