Üçtutlar Mah., Merkez / Çorum Tuesday - Saturday, 10:00 - 18:00 0545 177 01 19 eda1erkan@gmail.com TR EN

Researching Your Illness Online: Information or a Source of Anxiety?

Researching Your Illness Online: Information or a Source of Anxiety?

Researching your illness online can increase anxiety rather than ease it. Why it is hard to stop, the common traps, and how to search more healthily.

It is past two in the morning. The house is quiet, but your eyes are still open in the glow of the screen. You typed the term the doctor used today into the search box; one page led to another, one forum post took you to another story. Now your heart is racing and the worst scenarios you have read are going round in your head. When morning comes, you feel not a little better informed, but much more frightened. Researching your illness online is one of the most common things people do after a diagnosis, and their loved ones too; it usually begins as an effort to regain control. But at some point the search for information can turn into a cycle that feeds anxiety. In this article I look at why we find it hard to stop, the traps we may come across online, differences by age, and ways of making research healthier. Whatever you read, always turn to the doctor who looks after you for interpretations and decisions about your own situation.

Why Do We Research Our Illness Online?

News of a diagnosis leaves a person facing uncertainty. And uncertainty is one of the most uncomfortable states for the mind. The internet seems like a quick way of resolving that uncertainty, available at any moment.

Behind the urge to research there are usually these needs:

  • A sense of control. The thought "If I know what it is, I'll be better prepared."
  • The need to understand. Making sense of medical terms heard briefly in the consulting room.
  • Reducing loneliness. Reading the stories of people who have had a similar experience can give a sense that "I'm not alone."
  • Preparation. Asking the doctor better questions, learning about treatment options in advance.
  • Late-night anxiety. When anxiety rises while everyone else is asleep, the only "resource" within reach is often the phone.

All of these needs are legitimate. The problem is not research itself, but how, when and how much it is done.

A simple way to tell whether research is doing you good is to notice how you feel once you have finished reading. When you close the screen, are you left a little calmer, better prepared and with concrete questions to ask your doctor? Or more tense, more frightened and with the urge to "just look at one more page"? The first is a sign of gathering information; the second is a sign of research being driven by anxiety. Simply noticing this difference can be the first step towards changing the habit.

How Can Researching Your Illness Online Increase Anxiety?

Information on the internet is not specific to your situation. There can be important differences between general information about an illness and your own test results, age, overall health and treatment plan. So anything you read can lead you to draw unrealistic conclusions about your own situation.

Common traps

  • Focusing on the worst-case scenario. The mind pays more attention to information that contains a threat. Among hundreds of positive experiences, a single difficult story can be the one that sticks most.
  • Numbers taken out of context. General statistics say nothing about the course of an individual person's illness. Applying these numbers to your own situation can be both misleading and frightening.
  • Forum stories. Those who write on forums are often the people going through the hardest experiences. Journeys that go well are usually not written up.
  • Out-of-date information. Medicine changes quickly. An article written years ago may not reflect today's treatment options.
  • Products that promise a cure. Some websites market products or methods with no scientific basis. Such promises trade on false hope and can lead patients and families into unnecessary spending and wrong decisions.

The checking cycle

When anxiety rises, researching brings short-term relief. But this relief is temporary; a new question, a new symptom or a new piece of reading raises the anxiety again. Over time the person starts researching more often and for longer. This cycle can become even stronger in situations where health-related anxiety has increased markedly. I discuss this in detail in the article on health anxiety.

Differences by Age and Role

Parents of a sick child

Parents whose child has received a diagnosis often research in the middle of the night, while the child sleeps. Reading other children's difficult stories can deeply increase a parent's anxiety. This anxiety can in turn reach the child through tone of voice, facial expression and tension. When parents set aside a particular time for research and talk about what they have read with their partner or the doctor, it lightens this load.

Teenagers

Teenagers often research their illness without their parents knowing. Social media videos, short-form content and forums can create a wrong or incomplete picture in a young person's mind. Talking with them without judgement, by asking "What have you read? Is anything on your mind?", and taking their questions to the doctor together, makes it easier for them to reach reliable information.

Adults

For adults who work and carry family responsibilities, research is often linked to the need to plan: "How much time off should I take?", "What should I tell my children?" These questions are legitimate, but it is healthier to get the answers from the treatment team rather than from general websites.

Older people

Older patients may do less research online, but health videos and "you must read this" messages shared on messaging apps still reach them. These messages often contain unverified information. Sometimes an older person may even consider changing their treatment because they trust a message they have read. Talking about these messages with an older relative without mocking them, and saying "Shall we ask your doctor about this?", protects them from misinformation while protecting their dignity.

Relatives also often do research and, with good intentions, share what they find with the patient. However, a constant stream of articles, videos and "have you read this?" messages can wear the patient out and increase their anxiety.

Sentences relatives might use:

  • "I read something, but I don't know if it applies to your situation. If you like, we could ask your doctor."
  • "Do you want information about your illness, or would you rather not talk about it right now?"
  • "Shall I help you prepare a list of questions before your appointment?"

Sentences to avoid:

  • "I read online that this illness is really bad."
  • "Look at this website, this treatment definitely works."
  • "Didn't your doctor tell you this? I think they've misdiagnosed you."
  • "With your illness, people live on average this long."

Researching an illness online is often a relative's way of coping with their own helplessness too. Reading something gives a feeling of "at least I'm doing something." Understanding this feeling makes it easier for both patient and relative to approach each other more compassionately. Asking the patient how much information they want before sharing it protects their sense of control over the process. Some people want to know everything; others are content to know just that week's next step. Both preferences deserve respect.

The internet has an answer to every question; but only a doctor who knows you can give the answer that is specific to your situation.

Suggestions for Healthier Research

You do not need to stop researching altogether. Used well, information can be empowering. The following suggestions can help stop research from being a source of anxiety:

  1. Ask your doctor for sources. Asking "Where can I read about this?" directs you towards reliable websites. University hospitals, official health bodies and patient associations generally offer more reliable information.
  2. Set a time limit for research. For example, twenty minutes once a day, before dinner. Late-night research is done at the hours when anxiety is highest and judgement is lowest.
  3. Write down your questions and get the answers from your doctor. Note in a notebook the questions that come to mind while reading, and ask them at your next appointment.
  4. Approach forums with care. Other people's experiences can be valuable, but they are not your story. If a story you read affects you deeply, close that page and take a short break.
  5. Come back to your body. If your heart is racing after researching, take a few slow, deep breaths; feel your feet on the floor and look at the objects in the room. This short practice calms your nervous system.
  6. Accept the times when you do not want information. On some days you may not want to read anything at all, only to rest. This too is a way of coping.

I also discussed how the urge to research can become even more intense after a long and uncertain diagnostic process in the article on rare disease diagnosis.

Talking to Your Doctor Instead of Researching Your Illness Online

Your doctor can do something a search engine cannot: talk with you while looking at your test results, your history and your treatment plan. But appointment times may be short, and questions you were eager to ask can be forgotten. To make these conversations more productive, you can try the following:

  • Say how much information you want. Saying "I want to know every detail" or "For now I just want to know the next step" helps the doctor share information in a way that suits you.
  • Take someone with you. Having a loved one take notes means you will not have to search online for "What did they say?" once you are home.
  • Ask again about terms you do not understand. Saying "Could you explain that more simply?" is entirely legitimate.
  • Clarify how to get in touch afterwards. Knowing whom you can contact, and how, when a question comes to mind reduces the need for late-night research.

Periods of waiting for results, in particular, are when online research becomes most intense. You can find suggestions for coping with anxiety during this wait in the article on waiting for biopsy results.

Let us imagine a man in his forties who learns at a routine check-up that his liver values are raised and is given an appointment for further tests. He spends the ten days until the appointment reading about different illnesses for hours every evening; his sleep is disrupted and he becomes distracted at work. At the appointment, the doctor explains that raised values can have many different causes, most of them often treatable, and that a few tests will clarify things first. In this fictional example, ten days of research have brought him not information, but only exhaustion. If, during the next waiting period, he chooses to prepare a list of questions and go for a walk in the evenings instead of researching, he may get through the same uncertainty with far less wear and tear.

When Should You Seek Professional Support?

Looking for information after a diagnosis is natural. However, seeing a mental health professional may be helpful in the following situations:

  • Researching for hours every day and being unable to stop
  • Experiencing palpitations, shortness of breath or panic-like symptoms after researching
  • Sleep, work or relationships being noticeably disrupted by research
  • Considering stopping treatment or not following your doctor's advice because of information you have read
  • Thoughts about the illness taking up most of the day

When anxiety symptoms are marked, psychological support can help break the checking cycle. If what you read leaves you with deep hopelessness or a reluctance to go on living, do not carry this alone; talk to someone you trust, and in an emergency call 112 (emergency services).

How Is Anxiety About Health Information Addressed in Therapy?

Psychological support does not replace medical information; but it can help a person reshape their relationship with information and with uncertainty. In work in the area of anxiety and panic, the way research behaviour feeds anxiety is recognised together.

Within a cognitive behavioural therapy (CBT) framework, thoughts such as "If I know everything, I'll be safe" or "The worst scenario I've read about is going to happen to me" are examined. While researching, checking and reassurance-seeking behaviours are gradually reduced, the person's capacity to tolerate uncertainty is strengthened. Breathing and attention-shifting techniques that can be used when anxiety rises are also practised. The approach is adapted to suit parents, teenagers and adults according to their age. For those who find frequent travel difficult because of treatment, sessions can also take place online.

Frequently Asked Questions

Should I never research my illness?

No, getting information is your right, and when done with the right sources it can be empowering. What matters is choosing reliable sources, setting a time limit and discussing what you read with your doctor.

Is it rude to ask my doctor about something I've read?

No. Asking your doctor about what you have read is a healthy way of correcting misinformation and reducing your anxiety. It is enough to ask, "I read this somewhere; does it apply to my situation?"

My spouse keeps sending me articles about my illness and it makes me tense. What can I say?

Remembering that they are trying to manage their own anxiety in this way can soften your anger. You can set a clear boundary: "I understand why you're looking for information, but the articles you send me make me very tense. I'd like you to ask me first, or for us to ask the doctor together."

How can I break the habit of researching in the middle of the night?

Charging your phone outside the bedroom, writing down the questions that come to mind at night on a piece of paper and leaving them until morning, and setting aside a specific time during the day for research can help. If this habit disrupts your sleep for a long time, you can consult a professional.

Bu yazı genel bilgilendirme amaçlıdır; tanı veya tedavi yerine geçmez. Yaşadığınız güçlükler için bir ruh sağlığı uzmanına başvurmanız önerilir. Acil bir durumda lütfen 112'yi arayın.

Yazar

Eda Erkan Alapala

Klinik Psikolog. İstanbul Kent Üniversitesi Klinik Psikoloji Tezli Yüksek Lisans mezunu; bilişsel davranışçı terapi, çocuk merkezli oyun terapisi ve çocuk-ergen psikoterapisi alanlarında eğitimlerini tamamlamıştır.

Eğitimler
Keep reading

Related articles