Health Anxiety vs Panic Disorder: Key Differences & Similarities
Key Differences
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Excessive worry
Health Anxiety:
Core
Panic Disorder:
Common
Explanation: In health anxiety, worry tends to be a persistent focus, while in panic disorder it is more likely to rise around panic episodes or fear of them.
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Panic attacks
Health Anxiety:
Common
Panic Disorder:
Core
Explanation: Panic attacks can happen in both, but in panic disorder they are the central problem rather than one part of broader health-related fear.
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Seeking constant reassurance
Health Anxiety:
Core
Panic Disorder:
Common
Explanation: Health anxiety more often involves repeatedly checking or asking for reassurance about health concerns, while panic disorder reassurance-seeking is more tied to episodes of acute fear.
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Overthinking
Health Anxiety:
Core
Panic Disorder:
Common
Explanation: In health anxiety, overthinking is more likely to feel ongoing and health-focused, whereas in panic disorder it is more likely to come in waves around feared panic sensations.
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Avoiding situations or responsibilities
Health Anxiety:
Common
Panic Disorder:
Core
Explanation: Avoidance in panic disorder is more likely to become a central pattern of avoiding places or activities where panic might occur, while in health anxiety it is less central and more situation-specific.
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Key Similarities
| Symptom | How it is similar |
|---|---|
| Feeling emotionally overwhelmed | Both can involve episodes of feeling flooded by anxiety and unable to settle easily in the moment. |
| Heart racing or pounding | Both can involve noticeable surges of heartbeat that feel alarming and can intensify fear. |
| Shortness of breath | Both can involve episodes of breathlessness that may feel frightening or hard to interpret. |
| Difficulty falling asleep | Both can make it harder to fall asleep when anxiety keeps the body or mind activated. |
| Muscle tension | Both can show up as physical tension that reflects the body staying in a stressed or anxious state. |