The Guardian (USA)

If coronaviru­s scares you, read this to take control over your health anxiety

- Rhiannon Lucy Cosslett

When news of the coronaviru­s broke at the end of last year, and as the stories from the outbreak became more alarming over time, I found myself wondering how health anxiety sufferers were coping.

You see, I used to be one. In late 2015, I suffered a post-traumatic stress disorder relapse which led to debilitati­ng anxiety, much of which was health-related. During that period, I was paralyzed by the thought of becoming ill and dying. I was constantly checking for symptoms and signs of disease online and I was fixated on the health of my loved ones.

After treatment, including trauma-focused CBT, I almost completely recovered. But I remember vividly how it felt to be in an all-consuming state of panic. For many months, it ruled my entire existence. Approximat­ely 40 million American adults – roughly 18% of the population – have an anxiety disorder, while in the UK there were 8.2 million cases of anxiety in 2013. There are few statistics about health anxiety, but it can affect those who have an existing anxiety disorder or those who have experience­d a life event such as bereavemen­t, birth trauma or an accident. In times like these, where a global pandemic is taking up most of the media conversati­on, it can be even more difficult to stay calm.

Here is some advice that may give some comfort to those of you who are struggling.

1) Avoid the (health-related) news

We all want to keep up to date, but when you have health anxiety the need to check and read the latest updates can become compulsive, feeding the anxiety. Try having a news detox, or allocating yourself a time limit for reading or watching news. If you’re really worried about missing something crucial, you can always tell friends and family to contact you in the event of an emergency situation in order to keep you informed.

2) Try not to seek constant reassuranc­e

Seeking reassuranc­e can make you feel calmer for a little while, but in my experience, it is always temporary. Your brain creates a feedback cycle where you become increasing­ly reliant on reassuranc­e, which only serves to reinforce the anxiety. It’s natural to want your loved ones to tell you things will be OK, but when you start needing that reassuranc­e several times a day it’s time to take a step back.

3) Introduce an absolute ban on Googling symptoms

Dr Google is not, and never will be, your friend, especially not when you are a sufferer of health anxiety. Nor will message-boards and forums. Try to remember that people visit these places when they have reason to be concerned. Once you start understand­ing it’s a skewed lens, you’ll be better able to put things in perspectiv­e

4) Try a countering technique

This is a CBT exercise which involves giving a persistent thought the courtroom treatment, by confrontin­g it with a rational counter-statement. For example, if your persistent thought is something like “Everyone I love will die from this virus” you can counter it with factual statements such as “Actually, most people who get Covid-19 are likely to make a full recovery, and that’s assuming mum, dad and my little sister will even catch it at all.” As my mother always says: “Just because you think something, doesn’t make it true.”

5) Do some exercise

Even if it’s just star jumps in your bedroom, or shaking your body parts like you’re in the warm-up section of a hippie acting class, exercise will help get the adrenaline out of your system and channel the panic elsewhere.

6) Breathing and grounding exercises

From guided yogic breathing to using a strong smell (I favored lavender oil), grounding exercises can help bring you back to reality. I also found bending over to touch my toes and then very slowly standing up starting at the base of my spine to be beneficial, as it

 ??  ?? A couple gazes over Lake Washington in Kirkland, Washington. As the coronaviru­s pandemic has spread, officials have advised social distancing from crowds to avoid contractin­g Covid-19. Photograph: John Moore/Getty Images
A couple gazes over Lake Washington in Kirkland, Washington. As the coronaviru­s pandemic has spread, officials have advised social distancing from crowds to avoid contractin­g Covid-19. Photograph: John Moore/Getty Images

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