great article in the Journal of Anxiety Disorders by Asmundson and Taylor just published on this https://doi.org/10.1016/j.janxdis.2020.102211. The authors remind us that we can have too little health anxiety, for example leading a person to ignore requests for social ill distancing, but also too much for example panic buying sanitisers. The article reflects that there may be an overall increase in health anxiety as a consequence of the pandemic. This will likely lead to an increase in referrals.
If everybody with a current health concern were invited to book a telephone assessment with IAPT or ring Mind, ( I hear that the Government have given £5million to Mind) the services would be overwhelmed. But not only this, what direction would people be signposted to, and on what basis? The DSM-5 uses the term ‘Illness Anxiety Disorder’ , rather than ‘health anxiety’, its criteria help decide on whether a person is a ‘suitable case for treatment’ or a member of the ‘worried well’. Helpfully it offers signposts, implying a ‘wait and see’ approach in our current situation with its criteria that an illness anxiety disorder’ label should not be applied unless the ‘illness-related preoccupation has been present for at least 6months’ implying a normality of upsetting responses before this. Another of the criteria is that ‘there needs to be ‘a preoccupation with a having or acquiring a serious illness’ [in the DIAMOND interview for DSM-5 https://giving.hartfordhospital.org/tolin-diamond-training-video this is operationalised as an hour or more a day as being clinically significant]. A further requirement is that there should be significant functional impairment in domestic or work roles as a consequence of the health preoccupation. The criteria help stop the pathologising of normality and make for a better use of scarce mental health resources.
But though CBT is recommended for health anxiety I could find no study in which clients had been independently evaluated to see if they were no longer suffering from what has been termed variously ‘hypochondriasis’, “health anxiety’ and now ‘illness anxiety disorder’ at the end of treatment, much less at follow up. So some humility is called for when, as is likely, CBT is vociferously advocated as a response to this pandemic. But the prospect of increased funding is likely to be too attractive to agencies.
Regards
Dr Mike Scott
116 replies on “Health Anxiety, Covid-19 and Overwhelming Services”
Ooops the links should now work
Mike
I’ve felt overwhelmed with the amount of self help material flying around about coping with covid19 related anxiety. I feel what’s needed is human solidarity not expert advice.
perhaps we should as Jonathan Sacks suggests in his book Morality replace self with other so it becomes other help and other esteem
There’s a storm brewing.
“Today, the Lancet Psychiatry published a “roadmap for research” on Covid-19 and its impact on mental health, co-authored by 24 people and coordinated by the Academy of Medical Sciences and the charity, MQ. Thomas Kabir, Head of Public Involvement in Research at McPin, was one of three authors contributing a lived experience perspective. The headline recommendations include the need for real-time monitoring of mental health on a scale never before seen, the creation of a neuropsychological database of Covid-19, the design of apps and digital programmes, and research to understand what makes people resilient in the face of this crisis. There is also a focus on understanding the effect of the coronavirus on the brain and nervous system, and suggestions for how to do this using biobanking (storing tissue, blood, or genetic material), and by using patient data. The team’s expertise spans bio-psycho-social interests and there is a strong emphasis on the need for multi-disciplinary research approaches.”
Oh dear!
The term aza cycloalkyl as used herein refers to a cycloalkyl group in which one of the carbon ring members has been replaced by a nitrogen atom mega ivermectin peer reviewed paper The National Hockey League takes a mid season break to allow its players to appear at the Winter Olympics but Selig said it was impractical for baseball because it would mean shutting down the season for over three weeks just before the playoffs
Very interesting information!Perfect just what I was looking
for!!
After looking at a few of the blog posts on your web page, I really like your technique of blogging. I bookmarked it to my bookmark site list and will be checking back soon. Please visit my website as well and let me know how you feel.
I’m amazed, I have to admit. Rarely do I encounter a blog that’s both educative and interesting, and let me tell you, you’ve hit the nail on the head. The issue is something not enough people are speaking intelligently about. I’m very happy I stumbled across this during my hunt for something relating to this.
This is a topic which is near to my heart… Best wishes! Where are your contact details though?
Good post. I learn something totally new and challenging on sites I stumbleupon every day. It will always be exciting to read through articles from other authors and use a little something from their websites.
This web site truly has all the information and facts I wanted concerning this subject and didn’t know who to ask.
Very good post. I certainly appreciate this website. Stick with it!
You have made some really good points there. I looked on the web to find out more about the issue and found most individuals will go along with your views on this website.
Good site you have got here.. It’s difficult to find quality writing like yours nowadays. I really appreciate people like you! Take care!!
Saved as a favorite, I really like your web site!
Spot on with this write-up, I absolutely believe that this amazing site needs much more attention. I’ll probably be returning to see more, thanks for the info.
bookmarked!!, I love your web site.
Oh my goodness! Impressive article dude! Thank you, However I am encountering troubles with your RSS. I don’t know the reason why I can’t join it. Is there anybody else having similar RSS issues? Anyone that knows the solution can you kindly respond? Thanks!!
I love it whenever people get together and share views. Great site, continue the good work!
May I simply say what a relief to discover an individual who genuinely understands what they are discussing on the web. You certainly realize how to bring an issue to light and make it important. More and more people really need to read this and understand this side of your story. I was surprised you are not more popular given that you most certainly have the gift.
I blog frequently and I truly thank you for your content. This article has truly peaked my interest. I am going to take a note of your blog and keep checking for new information about once a week. I subscribed to your RSS feed too.
Good article! We are linking to this particularly great content on our website. Keep up the great writing.
There is definately a lot to know about this topic. I really like all the points you’ve made.
Hi! I could have sworn I’ve visited your blog before but after looking at some of the posts I realized it’s new to me. Anyways, I’m definitely pleased I stumbled upon it and I’ll be bookmarking it and checking back often.
Excellent article. I am dealing with a few of these issues as well..
I absolutely love your blog.. Pleasant colors & theme. Did you develop this site yourself? Please reply back as I’m hoping to create my own personal blog and want to know where you got this from or exactly what the theme is named. Kudos.
Can I simply say what a relief to find somebody that actually understands what they’re discussing on the net. You actually understand how to bring a problem to light and make it important. More people must look at this and understand this side of your story. I was surprised that you’re not more popular since you surely possess the gift.
I could not refrain from commenting. Very well written!
May I simply say what a relief to discover somebody that actually understands what they are discussing on the web. You certainly know how to bring an issue to light and make it important. A lot more people really need to look at this and understand this side of your story. I can’t believe you are not more popular because you definitely possess the gift.
Very good post! We are linking to this great content on our website. Keep up the good writing.
Good blog you’ve got here.. It’s hard to find high quality writing like yours nowadays. I really appreciate individuals like you! Take care!!
There’s certainly a great deal to know about this subject. I love all the points you’ve made.
Excellent article! We are linking to this great content on our site. Keep up the great writing.
Great information. Lucky me I ran across your website by accident (stumbleupon). I have book-marked it for later!
This website definitely has all of the info I needed concerning this subject and didn’t know who to ask.
Aw, this was an incredibly good post. Spending some time and actual effort to make a really good article… but what can I say… I procrastinate a whole lot and don’t seem to get nearly anything done.
I really like it when folks come together and share thoughts. Great site, continue the good work.
Good web site you have here.. It’s difficult to find good quality writing like yours nowadays. I seriously appreciate individuals like you! Take care!!
I like it when individuals come together and share thoughts. Great site, keep it up.
This is a topic that’s close to my heart… Take care! Where can I find the contact details for questions?
I absolutely love your site.. Excellent colors & theme. Did you make this amazing site yourself? Please reply back as I’m trying to create my very own blog and would like to learn where you got this from or what the theme is named. Kudos!
Having read this I believed it was really enlightening. I appreciate you taking the time and effort to put this short article together. I once again find myself personally spending a significant amount of time both reading and commenting. But so what, it was still worthwhile.
Way cool! Some very valid points! I appreciate you writing this post and also the rest of the site is extremely good.
Aw, this was an extremely nice post. Taking the time and actual effort to make a great article… but what can I say… I hesitate a whole lot and don’t seem to get anything done.
Nice post. I learn something totally new and challenging on sites I stumbleupon everyday. It will always be interesting to read through content from other writers and practice a little something from other websites.
Hi, I do believe this is an excellent website. I stumbledupon it 😉 I’m going to return yet again since I book-marked it. Money and freedom is the greatest way to change, may you be rich and continue to guide others.
It’s nearly impossible to find experienced people for this subject, however, you sound like you know what you’re talking about! Thanks
You’ve made some good points there. I looked on the internet for more info about the issue and found most people will go along with your views on this site.
It’s difficult to find educated people for this subject, but you seem like you know what you’re talking about! Thanks
Good post. I learn something new and challenging on websites I stumbleupon on a daily basis. It will always be helpful to read through content from other authors and use a little something from their web sites.
May I simply say what a relief to find someone who genuinely understands what they are discussing on the internet. You actually know how to bring a problem to light and make it important. More people ought to look at this and understand this side of your story. It’s surprising you’re not more popular given that you certainly have the gift.
Everyone loves it whenever people come together and share thoughts. Great site, stick with it.
This website was… how do I say it? Relevant!! Finally I have found something that helped me. Cheers!
Can I just say what a relief to find somebody who genuinely knows what they are discussing on the net. You actually understand how to bring a problem to light and make it important. A lot more people really need to look at this and understand this side of the story. I was surprised that you aren’t more popular because you most certainly have the gift.
Hi there, I believe your web site could be having internet browser compatibility issues. When I look at your site in Safari, it looks fine however, if opening in IE, it has some overlapping issues. I simply wanted to provide you with a quick heads up! Other than that, excellent blog.
Good post. I learn something new and challenging on sites I stumbleupon every day. It’s always interesting to read through content from other writers and use a little something from their websites.
Hello there, I believe your site may be having internet browser compatibility problems. Whenever I look at your blog in Safari, it looks fine however, when opening in IE, it has some overlapping issues. I simply wanted to provide you with a quick heads up! Besides that, great site!
An outstanding share! I have just forwarded this onto a coworker who has been conducting a little homework on this. And he actually ordered me dinner due to the fact that I stumbled upon it for him… lol. So let me reword this…. Thank YOU for the meal!! But yeah, thanks for spending the time to discuss this issue here on your internet site.
Howdy! This post could not be written any better! Going through this post reminds me of my previous roommate! He continually kept talking about this. I am going to send this information to him. Pretty sure he’s going to have a great read. Many thanks for sharing!
Great blog you’ve got here.. It’s hard to find high quality writing like yours these days. I truly appreciate individuals like you! Take care!!
Howdy, I think your site could be having internet browser compatibility problems. When I look at your website in Safari, it looks fine however when opening in Internet Explorer, it’s got some overlapping issues. I simply wanted to give you a quick heads up! Besides that, wonderful site.
Spot on with this write-up, I absolutely believe this site needs much more attention. I’ll probably be returning to read through more, thanks for the advice.
Good day! I could have sworn I’ve been to this site before but after looking at some of the articles I realized it’s new to me. Nonetheless, I’m definitely delighted I came across it and I’ll be bookmarking it and checking back often!
I couldn’t resist commenting. Very well written!
Aw, this was an exceptionally nice post. Taking a few minutes and actual effort to create a top notch article… but what can I say… I procrastinate a whole lot and never manage to get anything done.
Hi there! I simply want to offer you a big thumbs up for your excellent information you have got right here on this post. I’ll be returning to your website for more soon.
Good info. Lucky me I found your blog by chance (stumbleupon). I’ve bookmarked it for later!
Your style is really unique in comparison to other folks I’ve read stuff from. Thanks for posting when you have the opportunity, Guess I will just bookmark this blog.
Way cool! Some very valid points! I appreciate you penning this post and also the rest of the site is very good.
I really like it when people come together and share opinions. Great website, keep it up!
Hi! I simply would like to give you a huge thumbs up for your great information you have right here on this post. I will be returning to your web site for more soon.
A fascinating discussion is worth comment. I do think that you ought to publish more about this subject, it might not be a taboo subject but generally people don’t speak about these topics. To the next! Many thanks!
I must thank you for the efforts you have put in penning this website. I’m hoping to see the same high-grade content by you in the future as well. In fact, your creative writing abilities has motivated me to get my own website now 😉
There is certainly a great deal to learn about this topic. I really like all of the points you’ve made.
Everyone loves it when individuals come together and share opinions. Great blog, continue the good work.
After I initially left a comment I appear to have clicked on the -Notify me when new comments are added- checkbox and now each time a comment is added I receive four emails with the same comment. Perhaps there is a way you are able to remove me from that service? Thanks a lot.
Everything is very open with a very clear explanation of the challenges. It was truly informative. Your website is very useful. Thanks for sharing!
Your style is unique compared to other folks I’ve read stuff from. Thank you for posting when you’ve got the opportunity, Guess I’ll just bookmark this blog.
The next time I read a blog, I hope that it does not disappoint me just as much as this one. I mean, Yes, it was my choice to read through, however I truly believed you would have something interesting to talk about. All I hear is a bunch of whining about something that you can fix if you weren’t too busy seeking attention.
Greetings! Very useful advice in this particular article! It is the little changes that produce the largest changes. Thanks for sharing!
After checking out a few of the articles on your blog, I seriously like your way of writing a blog. I saved it to my bookmark website list and will be checking back soon. Please visit my web site as well and let me know your opinion.
Good post! We will be linking to this great post on our site. Keep up the good writing.
An outstanding share! I’ve just forwarded this onto a friend who had been doing a little research on this. And he actually ordered me breakfast simply because I found it for him… lol. So allow me to reword this…. Thanks for the meal!! But yeah, thanx for spending time to talk about this subject here on your web site.
After I originally left a comment I appear to have clicked the -Notify me when new comments are added- checkbox and now every time a comment is added I get 4 emails with the exact same comment. Perhaps there is an easy method you can remove me from that service? Cheers.
When I originally commented I appear to have clicked the -Notify me when new comments are added- checkbox and from now on whenever a comment is added I receive four emails with the same comment. There has to be a means you are able to remove me from that service? Many thanks.
May I simply just say what a relief to discover someone who genuinely knows what they are talking about on the internet. You certainly know how to bring an issue to light and make it important. A lot more people should look at this and understand this side of your story. I can’t believe you are not more popular because you surely have the gift.
I was pretty pleased to find this page. I need to to thank you for your time just for this wonderful read!! I definitely liked every little bit of it and i also have you bookmarked to see new stuff on your website.
Way cool! Some extremely valid points! I appreciate you writing this article and the rest of the site is also very good.
I would like to thank you for the efforts you have put in writing this blog. I am hoping to see the same high-grade blog posts from you later on as well. In fact, your creative writing abilities has encouraged me to get my own blog now 😉
Very good post. I absolutely love this site. Thanks!
I used to be able to find good information from your blog articles.
A fascinating discussion is definitely worth comment. I think that you ought to publish more on this subject, it might not be a taboo matter but generally people do not talk about these subjects. To the next! All the best!
That is a very good tip especially to those new to the blogosphere. Simple but very precise info… Appreciate your sharing this one. A must read post.
I seriously love your site.. Great colors & theme. Did you develop this amazing site yourself? Please reply back as I’m attempting to create my very own site and would like to learn where you got this from or what the theme is called. Thanks!
Right here is the right website for anybody who hopes to find out about this topic. You know a whole lot its almost hard to argue with you (not that I actually will need to…HaHa). You definitely put a new spin on a subject which has been written about for a long time. Excellent stuff, just excellent.
Hi, I do believe this is an excellent site. I stumbledupon it 😉 I will come back yet again since I bookmarked it. Money and freedom is the best way to change, may you be rich and continue to help other people.
There is certainly a lot to learn about this subject. I like all the points you’ve made.
Hello there! I could have sworn I’ve visited this website before but after going through some of the posts I realized it’s new to me. Anyhow, I’m definitely happy I found it and I’ll be book-marking it and checking back frequently.
I’d like to thank you for the efforts you’ve put in penning this site. I am hoping to see the same high-grade content from you later on as well. In truth, your creative writing abilities has motivated me to get my own, personal blog now 😉
There is definately a great deal to know about this subject. I really like all of the points you made.
You have made some decent points there. I checked on the internet for more information about the issue and found most individuals will go along with your views on this web site.
May I simply say what a relief to discover somebody who actually knows what they’re talking about over the internet. You actually realize how to bring an issue to light and make it important. More people ought to check this out and understand this side of the story. I was surprised you are not more popular because you surely possess the gift.
I like looking through a post that will make men and women think. Also, thank you for allowing for me to comment.
Greetings, I do think your website could possibly be having web browser compatibility issues. When I take a look at your website in Safari, it looks fine however, when opening in IE, it’s got some overlapping issues. I simply wanted to give you a quick heads up! Aside from that, fantastic blog.
I blog quite often and I seriously thank you for your information. This article has really peaked my interest. I will book mark your website and keep checking for new details about once a week. I opted in for your RSS feed too.
Everyone loves it when people get together and share ideas. Great blog, keep it up!
It’s nearly impossible to find well-informed people in this particular subject, but you seem like you know what you’re talking about! Thanks
Excellent blog you’ve got here.. It’s difficult to find excellent writing like yours nowadays. I really appreciate people like you! Take care!!
You are so interesting! I do not believe I’ve read something like that before. So nice to find someone with some original thoughts on this subject matter. Really.. thanks for starting this up. This website is something that’s needed on the internet, someone with some originality.
You’re so awesome! I do not think I have read through something like this before. So nice to find somebody with a few genuine thoughts on this subject matter. Seriously.. thanks for starting this up. This site is one thing that’s needed on the internet, someone with a bit of originality.
Next time I read a blog, I hope that it doesn’t fail me just as much as this particular one. I mean, Yes, it was my choice to read through, nonetheless I genuinely believed you would have something interesting to say. All I hear is a bunch of complaining about something that you can fix if you weren’t too busy searching for attention.
I was very happy to find this web site. I want to to thank you for your time due to this wonderful read!! I definitely savored every part of it and I have you bookmarked to see new stuff in your website.
Saved as a favorite, I love your site!
Hi! I simply would like to offer you a huge thumbs up for the great information you have right here on this post. I will be coming back to your web site for more soon.
It’s nearly impossible to find well-informed people on this subject, however, you sound like you know what you’re talking about! Thanks
Oh my goodness! Awesome article dude! Thanks, However I am going through difficulties with your RSS. I don’t understand the reason why I can’t subscribe to it. Is there anyone else having the same RSS issues? Anyone who knows the answer can you kindly respond? Thanx!!