–Talking about hypochondria When you see this title, you must be wondering: who in life is not afraid of physical illness? Indeed, illness not only causes a lot of pain to a person himself, but also causes harm and burden to the family. It is impossible for a person not to get sick in his life, and often suffer from many illnesses. It is reported that 60-80% of “healthy people” have unexplained physical discomfort every week, and only 20% of them are worried, and even then, after others’ persuasion, these 20% of people will Put down the heart, but there is a class of people can not put down the heart for a long time, always overly concerned about their own body, always feel that they suffer from some kind of disease, this is what I want to introduce to you “fear of the body sick people”. Xiao Wang is such a person. Three years ago, his mother died suddenly of heart disease, which produced a great mental shock, one night after the funeral, Wang suddenly felt “a gas” from the chest straight up, and accompanied by headache, left hand numbness, panic, etc., when he rushed to A few days later, he felt pain in his upper right abdomen and lost his appetite, and began to suspect that he had hepatitis, so he went to a provincial hospital to see a hepatology specialist, and the doctor conducted a comprehensive physical examination, and drew blood for hepatitis B and C, and an abdominal CT examination. The results came out a few days later and still no abnormality was found, Wang still did not feel comfortable, and registered for a specialist in hepatology surgery, asking the doctor to perform surgery to investigate whether there was a problem with the liver, the doctor told him that there was no indication for surgery and refused the patient’s request for surgery, he Since then, for 3 years, as long as he felt a little discomfort, he often took time off work to go around to see doctors, from the north to Concordia, south to Xiangya, no less than dozens of large and small hospitals across the country, there are several thick books of test reports, the conclusion is that there is no physical abnormality, the patient is in great pain. The patient is suffering from a “terminal illness” that cannot be detected. …… After reading this case, we say that Xiao Wang is sick or not sick? Of course Wang is sick, but he is not suffering from a physical disease, but a psychological disease ——- “paranoia”, which is also known as “hypochondria” in modern medicine. Hypochondria is a type of mental illness that manifests itself in excessive concern for the state of one’s physical health, convinced that one is suffering from a certain disease, often complaining of physical discomfort, but does not correspond to the actual state of health, which has some of the following characteristics: 1. The onset of hypochondria is related to the patient’s personality base These people tend to pay too much attention to their physical condition, have higher requirements for health, believe in the way of health, pay too much attention to various sensations from They are very concerned about their face, tongue, pulse, weight, urine and stool, and often have overly exaggerated descriptions of physical discomforts. 2. Hypochondria is often influenced by the cultural background and thus often has cultural overtones of the patient’s society. For example, the traditional belief that masturbation and seminal emission will cause “kidney deficiency” makes young people who have masturbated and seminal emission often have fear, resulting in depression and physical discomfort, which eventually leads to hypochondria. The clinical symptoms are complicated. There are symptoms of discomfort in all organs of the body, but the relevant physical examination and laboratory tests are often not abnormal. Sometimes, even if a slight abnormality of a certain index is detected, it cannot explain the so-called “illness”, but this “slight abnormality of a certain index” often becomes “strong evidence” that the patient is convinced that he or she has a certain disease. “4. repeatedly seeking medical help In order to find out the cause of the disease, these patients often frequently change hospitals and specialists for examination, mostly to the internal and external specialists of large general hospitals, and often ask for examination repeatedly at any cost in order to find out the cause of the disease, especially some high-tech and expensive examination, and even insist on exploratory surgery, which often causes waste of social medical resources and brings economic burden to families. These patients rarely go to the psychological disease department, denying that they have a mental illness, and especially resenting the name “mental illness”, which often leads to doctor-patient disputes. Patients are often in the contradictory state of “fear of illness, but convinced that they are sick”. These patients are concerned about the manifestations of many diseases, and their minds are filled with the painful feelings when suffering from these diseases, so they are inwardly very afraid of suffering from these diseases. They are very afraid of suffering from these diseases, and once they have the slightest physical discomfort, they will immediately “match” this discomfort with a certain disease, and repeatedly go to the doctor for examination to confirm it. A survey shows that 82% of patients are not satisfied with the diagnosis and treatment of doctors, because of the sensitivity and suspicion of these patients, they are very concerned about the drug instructions, they are particularly concerned about the side effects caused by drugs, and they have a lot of worries. “If I’m not sick, why should I use drugs?”. It is mainly psychotherapy to eliminate the patient’s misconceptions about health and disease and correct maladaptive behaviors to achieve the purpose of eliminating the disease. 7. Before the onset of the disease, there is often a certain amount of mental stimulation factors or because of friends and relatives suffering from serious illness or even death often have palpitations, or for work, interpersonal relationship and worry; especially to point out that many hypochondriacs are medical origin, or because of the doctor’s careless words, wrong diagnosis and treatment, unnecessary repeated examination, long-term undiagnosed and other adverse implication may be caused by the triggering factors of hypochondriacs. It is easy to create a medical influence, but very difficult to eliminate it. In short, hypochondria is a kind of “heart disease” that “a suspicion produces a hundred diseases”, a “psychological disease” without “physical disease “.