Online cbt therapy for health anxiety

Deborah C. Escalante

Overcome Health Anxiety with Online Therapy


Last updated: February 1st, 2022


Reviewed and approved by:
Dr. Steven Gans, MD Dr. Elizabeth Lombardo, PhD

Category: Health Anxiety Online Therapy Reviewed and approved by:

Are You Health Conscious or Health Anxious?

Almost every one of us gets concerned about our health and well-being. And that concern can motivate us to try to optimize our eating, sleep and to lead a healthy lifestyle. Being health conscious can be great. It helps a lot in leading a healthy, happy, successful and meaningful life.

However, problems arise when this health consciousness gets transformed into “health anxiousness”. If you become too obsessed about your health and if you get too apprehensive that you are suffering from a severe illness (without the presence of such medical symptoms), then you may be experiencing health anxiety. In the past, psychologists referred to this as “hypochondria”. However, it is now called Illness Anxiety Disorder.

Illness Anxiety Disorder is a somatic symptom disorder in which the person suffering from it gets overly anxious or obsessed over his/her physical conditions. They see even a minor problem as an exaggerated severe illness. People suffering from Illness Anxiety Disorder often require continuous care, support and assurance from health service providers, family and acquaintances.

See if you recognize yourself in the symptoms of health anxiety:

Being preoccupied with having or developing a serious disease or health condition

Worrying that minor symptoms or body sensations mean you have a serious illness

Being easily alarmed about your health status

Finding little or no reassurance from doctor visits or negative test results

Worrying excessively about a specific medical condition or your risk of developing a medical condition because it runs in your family

Having so much distress about possible illnesses that it’s hard for you to function

Repeatedly checking your body for signs of illness or disease

Frequently making medical appointments for reassurance — or avoiding medical care for fear of being diagnosed with a serious illness

Avoiding people, places or activities for fear of health risks

Constantly talking about your health and possible illnesses

Frequently searching the internet for causes of symptoms or possible illnesses

What’s more, people with Illness Anxiety Disorder can also experience additional mental health issues, such as Obsessive Compulsive Disorder (OCD), Clinical Depression, Anxiety, Panic Attacks, Generalized Anxiety Disorder (GAD).

Treatment Procedures

The good news is that Illness Anxiety Disorder can be treated. Effective methods of treatment include Cognitive Behavior Therapy (CBT), Exposure Therapy and support. You can receive these types of treatment here at Online Therapy.

Cognitive Behavioural Therapy – CBT Treatment for Health Anxiety – London, UK-wide and Online Via Video Link

If you are continuously preoccupied by worries about your health, body sensations or the possibility of contracting a  serious illness or life changing medical condition, you could be experiencing health anxiety or what is now referred to as Illness Anxiety Disorder. This obsessional focus on health related problems can have a profound effect on the quality of life and place severe limitations on personal and professional responsibilities. Whilst health anxiety is often a deeply rooted and long-term problem, the independent research evidence and guidance issued by the National Institute of Health and Care Excellence (NICE) support Cognitive Behavioural Therapy as the recommended treatment of choice. To find out how CBT for health anxiety can help you or to book an appointment with a CBT specialist, follow the content on this page.

BACA JUGA:   Sexual trauma therapist los angeles

COVID-19 Related Anxiety

The global COVID-19 pandemic has contributed to specific health anxiety relating to the fear of viral infection, as well as a a number of COVID- related psychological symptoms and post-COVID recovery problems. Whilst the research into COVID-19 recovery is still at a relatively early stage, there is a wealth of psychological research data from other serious respiratory diseases including MERS and SARS. This has identified a number of problems linked to generalised anxiety, panic attacks, somatisation disorders, depression and trauma. To find out how CBT is used to treat cOVID-19 related psychological problems, follow the link to our COVID page.

Health Anxiety Treatment Options

CBT by Video Link

We provide specialist CBT and EMDR treatment for health anxiety (now separated into Illness Anxiety Disorder and Somatisation Disorder) from our main clinics in London. We also have over 200 BABCP accredited Cognitive Behavioural Psychotherapists available across the UK or online via video link. Email [email protected] 

CBT and EMDR appointments can be delivered on a face-to-face basis or online via video link. The treatment process is the same whether the therapy is delivered directly or via video connection. Health anxiety treatment is a specialised and highly structured therapeutic process we should only be delivered by fully qualified and experienced Cognitive Behavioural Psychotherapists and Psychologists. All of our CBT therapists are fully qualified and professionally accredited by the British Association of Behavioural and Cognitive Psychotherapy (BABCP).

We always start with an initial free telephone consultation to ensure that Cognitive Behavioural Therapy or EMDR treatment is right for you before arranging therapy sessions. We will only work with you if we are confident that we can help. To book an appointment you can complete the simple contact form on this page or search for a therapist by postcode to find a member of our CBT team near you. 

What is Health Anxiety?

Health anxiety involves continuous worry about contracting or having a serious illness or disease. Common health anxiety targets include cancer, brain tumors, HIV, heart problems, strokes and neurological diseases. Health anxiety is often based on a misinterpretation of innate bodily sensations or the physiological symptoms of anxiety. This is accompanied by continuous checking behaviours, constant bodily scanning and a tendency to assign serious or life threatening outcomes to innate physical sensations. Health anxiety is a significant problem. It affects up to 5% of the population and can persist on a continuous or recurrent basis throughout the individuals adult life.

A Cognitive Behavioural Model of Health Anxiety

Health Anxiety Maintenance image


Key Criteria for Health Anxiety

  • We The health anxiety persists despite appropriate medical assessment and reassurance.

  • The health worry is not delusional and is not limited to concerns about bodily appearance.

  • The preoccupation with health causes significant distress or impairment in social and occupational functioning.

  • The problem is usually experienced for at least six months.

BACA JUGA:   Stress management games for groups

Causes of Health Anxiety

Whilst the precise causes of health anxiety vary, there are a number of common factors which may trigger health anxiety:

  • Having a serious childhood illness.

  • Experiencing a significant illness or health scare in adult life.

  • Having a close family member or friend with a serious illness.

  • The death of a close relative or friend.

  • Being physically affected by another anxiety disorder.

  • Other close family and friends with health anxiety. 

Health anxiety is a continuous source of worry and frustration for the individual. In addition to the genuine concerns about having or developing underlying health problems, sufferers often feel undermined by their health worries and that they are being judged as weak or time wasting. Continuous health worry leads to checking, reassurance seeking and medical appointments or tests. Whilst checking or reassurance helps to resolve the immediate health worry, it validates and reinforces the assumption that health worry can only be resolved by obtaining a definitive result.  This creates a vicious cycle of continuous worry, checking and hypervigilance to bodily sensations or feelings of illness. If not treated using Cognitive Behavioural Therapy, health anxiety can developed into an overwhelming preoccupation and lead to a continuous cycle of worrying about illness and seeking medical reassurance. 

Common irrational beliefs in health anxiety include:

  • Bodily changes or sensations are always a sign that something is wrong.

  • I have to worry about my health to prevent or avoid undetected illness.

  • Medical tests are the only way to rule out an illness.

  • Being “healthy” means that I should never experience physical symptoms or sensations.

  • If a doctor sends me for tests, then something wrong.

  • I am vulnerable to illness.
  • I will become seriously ill or die before my time.

Take the Health Anxiety Test

The Health Anxiety Inventory (HAI–18), is a psychometric assessment used by psychological practitioners to screen for health anxiety symptoms. Whilst this assessment cannot be used to give a definitive diagnosis, it can flag up helpful indicators for further exploration with a psychological health professional. This assessment can be taken online free of charge here.

How Cognitive Behavioural Therapy is Used to Treat Health Anxiety

CBT has been shown to be highly effective in the treatment of health anxiety, consistently outperforming psychotropic medication and other forms of therapy. CBT provides an approach for exploring and testing alternative beliefs about the nature of the health worry, as well as interrupting the addictive cycle of checking behaviours that maintain the problem.  Clients are encouraged to examine and experiment with different situations to determine whether the problem is based on a medical illness or the physiological effects of increased sensitivity and anxiety. This involves learning techniques to alter negative thinking patterns, shifting focus of attention, changing unhelpful behaviours and normalising exposure to health anxiety triggers.

The research has also shown that a special form of CBT known as Acceptance and Commitment Therapy or ACT can be helpful in the treatment of health anxiety. ACT involves improving psychological flexibility, learning how to unhooked from negative or unwonted thoughts and engaging in helpful and life enhancing action.

BACA JUGA:   Coping with stress relaxation exercises

EMDR Treatment for Health Anxiety

CBT by Video Link

Another evidence-based psychological technique known as Eye Movement Desensitisation and Reprocessing – EMDR has also been found to be highly effective in the treatment of health anxiety, particularly where there are past links and memories associated with illness, trauma and loss. EMDR can be used as a standalone treatment or as an adjunct to CBT.

As our therapists are trained across a number of evidence based psychological disciplines, we normally combine these approaches with mainstream CBT to get the very best results for our clients.  If you want to talk to a Cognitive Behavioural Psychotherapist about Health Anxiety, you can complete the simple contact form and we will organise a free initial telephone consultation.  You can also take the free Health Anxiety assessment by clicking on the following link:

Take the Free Health Anxiety Inventory (HAI-18)

The Health Anxiety Thought Record can also be used as a tool for identifying, interrupting and altering the addictive cycle of worry and reassurance seeking that maintains problems with health anxiety.  This can provide a useful starting point for understanding the patterns of negative thinking and avoidance that keep health anxiety going.

Cognitive Behavioural Therapy for health anxiety brings the same rigor, structure and focus to the problem that it provides for many other psychological, emotional and behavioural problems.  

If you want to book an informal call with a member of our team, you can complete the simple contact form on this page, email [email protected] or call us on +44 1732 808 626 

Our Health Anxiety Specialists

Kiran Chohan Kiran Chohan

St. Albans, Al4

View Profile Samantha Gilling Samantha Gilling

Preston, PR1

View Profile Dr Francisco Flores Dr Francisco Flores

Tonbridge TN9

View Profile Pauline Drizen Pauline Drizen

London, HA8

View Profile Helen Crowson Helen Crowson

Belper, DE56

View Profile Jenna Quinn Jenna Quinn

Glasgow, G33

View Profile Hal Satterthwaite Hal Satterthwaite

London EC4M

View Profile Lucy Burrows Lucy Burrows

Golborne, WA3

View Profile Jade Choi Jade Choi


View Profile Raj Darar Raj Darar

Nottingham, NG24

View Profile Victoria Lumley Victoria Lumley

Crakehall, DL8

View Profile Lucy Conroy Lucy Conroy

Preston, PR4

View Profile Sarah Mitchell (Battye) Sarah Mitchell (Battye)

Sandbach, CW11

View Profile Maggie Spark Maggie Spark

Derbyshire, S32

View Profile Chryssa Chalkia Chryssa Chalkia

London, W1B

View Profile Sarah-Jayne Hartley Sarah-Jayne Hartley

Farnborough, GU14

View Profile Amanda Bowen Amanda Bowen

Blackpool FY2

View Profile Shama Khokhar Shama Khokhar

Slough, SL2

View Profile Suheyla Hussein Suheyla Hussein

South Croydon CR2

View Profile Rob Thomson Rob Thomson

Brighton BN2

View Profile Kelly-Anne Astley Kelly-Anne Astley

Manchester, M1

View Profile Hannah Byrne Hannah Byrne

Bristol, BS39

View Profile Raphael Kada Raphael Kada

Manchester, M20

View Profile Esther Slattery Esther Slattery

London, E8

View Profile Sheelagh Brown Sheelagh Brown

Newbury, RG20

View Profile Rox Dearne Rox Dearne

Hereford, HR4

View Profile Nicola Hall Nicola Hall

Skegness, PE25

View Profile Mina Spatha Mina Spatha

London, N21

View Profile Keith Gordon Keith Gordon

Borehamwood, WD6

View Profile Gemma Forshaw Gemma Forshaw

Wolverhampton, WV10

View Profile Joao Tiago Bravo Joao Tiago Bravo


View Profile Roz West Roz West

Larkfield ME20

View Profile Caroline Rowe Caroline Rowe

Huddersfield, HD3

View Profile Suzanne Kamani Suzanne Kamani

Diptford, TQ9

View Profile Samantha Piper Samantha Piper

Fareham, PO1

View Profile Stephanie McCoy Stephanie McCoy

Nottingham, NG1

View Profile Rebecca Hampson Rebecca Hampson

West Malling, ME19

View Profile Nicola Jenkins Nicola Jenkins

Birmingham B61

View Profile Zahra Hunton Zahra Hunton

Nottingham, NG5

View Profile Vladimir Urban Vladimir Urban

London N31

View Profile Mike Butterworth Mike Butterworth

Sheffield, S6

View Profile Andrew Dyke Andrew Dyke

Rotherham, S63

View Profile Emma Davie Emma Davie

Wakefield, WF15

View Profile Dr Helen Moya Dr Helen Moya

Loughborough, LE11

View Profile Dr Said Aris Dr Said Aris

London, UB8

View Profile Paula Reid Paula Reid

Manchester M32

View Profile Laura Town Laura Town

Harrogate, HG1

View Profile Cloudette Hancel Cloudette Hancel

Surrey, KT13

View Profile Leonie O'Loughlin Leonie O’Loughlin

Polstead, CO6

View Profile Dr Paulien Gill Dr Paulien Gill

Canterbury, CT1

View Profile Nicoletta Cavriani Nicoletta Cavriani

West Sussex RH19

View Profile Dr Sylvia Davies Dr Sylvia Davies

Wales, LD3

View Profile Jennifer Wainman Jennifer Wainman

London, SW19

View Profile Helan Gidley Helan Gidley

Somerset, TA7

View Profile Anita Dosanjh Anita Dosanjh

Birmingham, B66

View Profile Pascal Morrison Pascal Morrison

Liverpool, L1

View Profile Dominic Riches Dominic Riches

London, W13

View Profile

Also Read