Understanding Health Anxiety

A little bit of concern about your health is normal, and even healthy! If you have health anxiety, worries about your health can take over your life and cause you a lot of distress. It is thought that between 1 and 10 people out of every 100 will experience health anxiety every year. Fortunately, Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) are both effective psychological treatments for health anxiety.

The Understanding Health Anxiety guide is designed to help clients with health anxiety to understand more about their condition. As well as a clear description of symptoms and treatments, the guide explores key maintenance factors for health anxiety including:

• Interpreting triggers as a threat.
• Being on the lookout and checking for symptoms.
• Intrusive images about illness and death.
• Safety behaviors and avoidance.

Our ‘Understanding…’ series is designed to support your clients:

• Scaffold knowledge. The guides are perfect during early stages of therapy to help your clients understand how their symptoms fit together and make sense.
• Reassure and encourage optimism. Many clients find it hugely reassuring to know there is a name for what they are experiencing, and that there are evidence-based psychological models and treatments specifically designed to help.
• De-mystify the therapy process. To increase your client’s knowledge of the therapy process and the ingredients that it is likely to involve. If you can help your clients to understand why an intervention is important (think exposure!) it can help encourage them to engage.
• Signposting. If you’re just seeing a client briefly for assessment, or you have a curious client who wants to know more, these resources can be a helpful part of guiding them to the right service.
• Waiting time not

• American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
• Cooper, K., Gregory, J. D., Walker, I., Lambe, S., & Salkovskis, P. M. (2017). Cognitive behaviour therapy for health anxiety: a systematic review and meta-analysis. Behavioural and Cognitive Psychotherapy, 45(2), 110-123.
• Eilenberg, T., Fink, P., Jensen, J. S., Rief, W., & Frostholm, L. (2016). Acceptance and commitment group therapy (ACT-G) for health anxiety: a randomized controlled trial. Psychological Medicine, 46(1), 103-115.
• Muse, K., McManus, F., Hackmann, A., Williams, M., & Williams, M. (2010). Intrusive imagery in severe health anxiety: Prevalence, nature and links with memories and maintenance cycles. Behaviour Research and Therapy, 48(8), 792-798.
• Taylor, S., Asmundson, G. J. (2004). Treating health anxiety: A cognitive-behavioral approach. Guilford Press.
• Taylor, S., Asmundson, G. J., & Coons, M. J. (2005). Current directions in the treatment of hypochondriasis. Journal of Cognitive Psychotherapy, 19(3), 285.