Health Anxiety in Pregnancy: Understanding and Managing

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health anxiety in pregnancy

Health anxiety during pregnancy is a common issue that can affect many expectant women. It involves an excessive worry about the health of oneself and/or the baby. I think we all worry to some extent while pregnant and ultrasounds and hearing the heartbeat can help, but health anxiety is different from general pregnancy concerns. It tends to be more intense and can interfere with daily life.

Recognizing the signs of health anxiety is important so you can get support from a therapist specializing in maternal mental health before the baby is born, because anxiety frequently continues postpartum. Symptoms can include constant worry, repeatedly checking for symptoms, and seeking reassurance from others. It may also involve frequent visits to the doctor and difficulty concentrating on anything other than health concerns.

Pregnancy can trigger health anxiety for several reasons. The physical changes in the body and the responsibility of caring for another life can be overwhelming. Additionally, hormonal changes can heighten anxiety levels. Understanding why this happens can help in finding ways to manage it. I frequently find that women who have had a previous pregnancy loss, have undergone fertility treatments or have experienced a previous traumatic birth, can understandably experience increased anxiety this time. and extra support while you are going through pregnancy can really help.

Managing health anxiety during pregnancy is important for both the well-being of the mother and baby. Various techniques can help reduce anxiety, including talking to a therapist like myself who specialized in maternal mental health, mindfulness practices that help you stay present rather than worry about the future, and lifestyle changes. It’s important to find what works best for you to ensure a healthier and less stressful pregnancy.

Understanding Health Anxiety in Pregnancy

Health anxiety in pregnancy refers to excessive worry about the health of both the pregnant woman and her unborn baby. This type of anxiety goes beyond typical pregnancy concerns. It involves a persistent preoccupation with potential health problems that may or may not exist. This worry can become overwhelming and interfere with daily activities, making it especially challenging to enjoy the pregnancy.

Health anxiety can manifest in various ways. Some women might constantly think about worst-case scenarios, while others might feel the need to check their symptoms repeatedly. This can lead to frequent doctor visits or constant research on pregnancy-related health issues. The fear of illness or complications can be so consuming that it dominates thoughts and actions, making it hard to focus on anything else.

It’s important to understand that health anxiety is a mental health condition. This means it isn’t something you can just “snap out of.” It requires proper management and support. Understanding what health anxiety is and how it affects you is the first step in addressing it effectively. By recognizing that these worries are not uncommon, you can begin to find ways to manage your anxiety better.

Recognizing the Symptoms of Health Anxiety

Identifying the symptoms of health anxiety is the first step in managing it effectively. One of the main signs is constant worry about health. This worry can be about your own health or the health of your baby. If you find yourself preoccupied with thoughts of illness or complications, this could be a sign of health anxiety.

Another symptom is the habitual checking of your body for signs of problems. This might involve frequent visits to your doctor for reassurance, even when there is no medical reason for concern. Some women might engage in excessive online research about pregnancy health issues, fueling their anxiety further.

List of Symptoms:

1. Constant worry about health

2. Frequently checking for symptoms

3. Seeking reassurance from medical professionals often

4. Difficulty concentrating on anything other than health concerns

5. Feeling a sense of panic over minor health issues

6. Avoiding activities for fear they might harm the baby

Recognizing these symptoms can help you take the first steps toward managing health anxiety. Understanding that these feelings are common can be comforting. It’s also useful to know that help is available, and with the right strategies, it’s possible to manage this anxiety effectively and enjoy a healthier pregnancy.

Why Pregnancy Triggers Health Anxiety

Pregnancy is a time of great change, and these changes can trigger health anxiety. The physical changes your body undergoes are significant. Hormonal shifts can affect your mood and increase anxiety levels. As your body adapts to support a growing baby, you may experience new and unfamiliar symptoms. These changes can be unsettling, fueling worries about your health and your baby’s well-being.

The responsibility of caring for another life can add to the stress. Many expectant mothers worry about their ability to keep their baby healthy and safe. This responsibility can feel overwhelming, particularly if you’re experiencing pregnancy for the first time. Concerns about labor, delivery, and the potential for complications can magnify this anxiety.

External factors also contribute to health anxiety during pregnancy. Hearing about other people’s pregnancy complications or reading about potential risks can increase your worries. Social media and online information, although helpful, can sometimes lead to information overload and increased anxiety. It’s important to recognize these triggers and understand why they heighten your anxiety.

How Therapy Helps Manage Health Anxiety

Talking to a therapist who specializes in pregnancy and postpartum mood disorders can be highly beneficial and yield faster relief than seeing someone who doesn’t have specialist training. I can help you understand and manage your anxiety better and provide coping strategies tailored to your specific needs. Cognitive-behavioral therapy (CBT) is particularly effective in treating health anxiety. It helps change the negative thought patterns that fuel anxiety as well as looking at the underlying stressors affecting you.

Therapy offers a safe, non-judgmental space to explore your feelings and find strategies to manage anxiety. Here’s how it can support you:

1. Understanding and Normalizing Your Feelings

A skilled therapist can help you recognize that you’re not alone in your struggles and normalize your emotions. I will acknowledge your fears’ validity while at the same time help you reframe unhelpful thought patterns.

2. Identifying Anxiety Triggers

I will work with you to identify what specifically triggers your health anxiety. Is it constant Googling of symptoms, upcoming medical appointments, or stories you’ve heard from others? Gaining clarity on your triggers is the first step toward managing them.

3. Cognitive Behavioral Therapy (CBT)

CBT is highly effective in treating anxiety. This approach helps you challenge and reframe negative thought patterns that may be fueling your health worries and learn effective coping strategies to reduce worrying and anxiety.

CBT for Anxiety

My article on CBT for Anxiety explains the basics of this type of therapy helps treat anxiety CBT For Anxiety: What It Is & How It Works

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To read strategies to manage more general anxiety see How To Manage Pregnancy & Postpartum Anxiety With Cognitive Behavioral Therapy.

4. Mindfulness and Relaxation Techniques

Mindfulness practices like deep breathing, meditation, and progressive muscle relaxation can help lessen the grip of anxiety in the moment. It is hard to change your thoughts or utilize anxiety coping strategies when your mind is racing due to adrenaline. Try different breathing techniques, or grounding techniques, daily to find the ones that are most helpful for you. Then practice one or two on a daily basis so you can go right to it when in a situation that triggers health or any type of anxiety.

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Read why grounding reduces anxiety by reducing adrenaline and helping you think straight 7 Simple Grounding Techniques For Calming Down Quickly.

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Read more about how deep breathing helps to combat anxiety in 5 Deep Breathing Techniques & Why They Work.

5. Creating a Supportive Environment

Therapy can also help you strengthen communication with your support system. Whether it’s your partner, family, or friends, expressing your needs and building an understanding network can make a significant difference in alleviating fears.

By incorporating these techniques into your daily routine, you can manage your health anxiety more effectively. Finding what works best for you will help create a more peaceful and enjoyable pregnancy experience.

Effective Strategies for Managing Health Anxiety During Pregnancy and Finding Support

Health anxiety during pregnancy can be challenging but understanding and managing it can make a significant difference. Recognizing the symptoms early and understanding why pregnancy triggers this anxiety are crucial first steps. It’s important to address the physical and emotional changes your body is going through. Utilizing effective management techniques such as therapy, mindfulness, and utilizing support systems can greatly reduce anxiety levels.

If you’re struggling with health anxiety during pregnancy, remember that you’re not alone. Many expectant mothers experience these worries, and I can help.

For personalized anxiety treatment in Chicago and specialized treatment for Pregnancy & Postpartum , contact Dr. Sarah Allen. I see clients in my office in Northbrook, a North Shore Chicago suburb, or virtually across IL, FL, and the UK.

Dr. Sarah Allen

Dr. Sarah Allen has 25+ years of experience in private practice helping women to transition to being the mom they want to be. She is the Founding Director of the statewide non-profit Postpartum Depression Alliance of IL. She also specializes in pregnancy loss & infertility & has published research on postpartum depression and traumatic childbirth.

If you would like to work with Sarah, please phone her at 847 791-7722 or on the form below.

If you would like to read more about me and my areas of specialty,  please visit Dr. Sarah Allen Bio. Dr. Allen’s professional license only allows her to work with clients who live in IL & FL & the UK and unfortunately does not allow her to give personalized advice via email to people who are not her clients. 

Dr. Allen sees clients in person in her Northbrook, IL office or remotely via video or phone.

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    I highly recommend Dr. Allen! She is warm and so easy to talk to. She has lots of knowledge about women’s health.

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    Dr. Allen is a colleague of mine and she is an excellent therapist. She is warm, caring, and exceptional at her work. I refer clients to Dr. Allen and I highly recommend her if you are looking for a top notch therapist.

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    My baby didn’t sleep. She wouldn’t sleep more than a couple of hours at night and no more than 30 minutes during the day. I was completely overwhelmed and my husband and I were at each other’s throats. I was supposed to be going back to work but was barely functioning. Sarah helped us to learn how to get our baby sleeping and then she supported me in my transition back to work. She also helped my husband and I navigate how to share childcare and running the house fairly. She is a very knowledgeable therapist and has really helped us.

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    Dr. Allen Helped Me to Feel More Empowered

    Dr. Allen has really helped me find my own voice. When I began therapy I would swing between being passive and doing whatever other people wanted me to do to being angry and frustrated. I have been on antidepressants for quite a few years but it wasn’t really working. Through therapy I have learned to listen to my own needs and to speak up. I used to worry that people wouldn’t like me if I didn’t agree with them but when Dr. Allen gave me the support I needed I challenged my fears. I spend a lot less time feeling angry and depressed now and I have really widened my social network. This is how I have always wanted to be but didn’t know how to get there. Dr. Allen has a very reassuring manner and makes you challenge yourself but by using small steps so you feel ready to do it. I have really come out of my shell and would recommend anyone who is feeling depressed to come and talk with her.

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    I refer as many patients as I can to Dr. Allen. She is an expert in treating perinatal mood disorders, and a well-trained and experienced therapist who is committed to working with her clients to develop a treatment plan designed for each individual. She exhibits genuine warmth, kindness and compassion for each of her clients. Dr. Allen has been a colleague of mine for more than 20 years, and I have great confidence when I refer patients to her.

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    I began seeing Dr. Allen when my first child was around a year old. I had experienced a very traumatic birth, after a difficult pregnancy where I was on bed rest for a good portion of the time. The first year of my son’s life was spent worrying constantly. I also experienced flashbacks to the birth, which was an emergency C-section under general anesthesia. My son was in the NICU for several days following his birth, and I was not given very much information as to why. I remember thinking that he would die, or that something awful was going to happen.

    I experienced a great deal of anxiety that first year, and I thought that it was due to being a new mom. I wasn’t sleeping, I wasn’t eating as normal, and I remember being worried about leaving the house or taking my baby with me anywhere. I worried constantly about illness, germs, etc.

    The first day that I saw Dr. Allen, she gave me some questionnaires to fill out before we started talking. Then we sat down and talked about my experiences with my son’s birth and the early days of his life, and the year or so since then. I remember to this day the relief that I felt when she looked at me and said that I had PPD and PTSD, which was a result of the trauma I experienced during and immediately after the birth of my son. She explained how my brain had reacted to the stress of these events, and related it to why I was feeling the way that I felt. It made so much sense. Then, she described ways that I could get over the trauma, work through the feelings, and recover from PTSD and PPD. I felt so empowered, and so happy that the way I felt had a name, and that it was treatable. It also made me feel so validated in the ways that I had felt and reacted following my son’s birth. I wasn’t going crazy. My reaction was normal and natural. And with the help of Dr. Allen, and the type of therapy that she uses, I knew I could recover.

    It is over five years since that first visit with Dr. Allen, and I still use the tools that she taught me today to deal with stress. I credit her with helping me to become a more empowered, happier person.

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    When I had my first baby I had what I now know was postpartum depression but I didn’t get any help. It did go away after about 18mths but it was a miserable way to begin motherhood.  When I was pregnant with my second child I started to become depressed again and this time told my OB/GYN how I was feeling and she referred me to Sarah. By starting to deal with how I felt and change the way I was handling the stresses in my life, I was in a much better place when my baby was born. The second time round my PPD was much less severe and didn’t last as long. 

    Sarah was also really helpful in teaching me ways to make the transition of becoming a big sister easier for my oldest one too.   My husband came with me for some sessions and that really helped our relationship and we started working on parenting issues together.  Sarah’s counsel and support really helped our family transition to the good place we are all in today.

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