Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Doctors who call patients hypochondriacs are committing malpractice

Zackary Berger, MD, PhD
Physician
November 25, 2013
Share
Tweet
Share

There’s one question I get asked a lot: “I research my health problems on the Internet. Am I a hypochondriac?”

First, we should ban that word when talking about ourselves. No one wants to be called that, and doctors who use that word are committing malpractice. Everyone has some range of complaints and worries in life, often physical and mental together, and this is our job as doctors: to hear them out. I firmly believe that no complaint is illegitimate.

Nor, for that matter, is looking stuff up on the Internet a problem. Given that the advice proffered by doctors is most often not consonant with the scientific evidence (to quote this much-cited paper, “Even those physicians who are most enthusiastic about EBM (evidence-based medicine) rely more on traditional information sources than EBM-related sources”), I doubt that seeking information on the Internet is any worse. (Of course, there is already considerable literature on the topic.) Nor do I know of evidence that seeking health information on the Internet increases worry, another common concern mentioned to me.

I think the relationship between physical symptoms and worry actually go in another direction, at least as I see it. A subset of those who have common physical complaints sometimes have a lot of them, and with some frequency these are due to undiagnosed anxiety disorders or other psychiatric ailments, which often go untreated.

In short: physical complaints are never to be dismissed, no matter what their cause, and having recourse to publicly available information is not to be looked down on either.

Zackary Berger is a faculty member of the Johns Hopkins University School of Medicine, where he is an internist and researcher in general internal medicine.  He blogs at his self-titled site, Zackary Sholem Berger, and is the author of Talking to Your Doctor: A Patient’s Guide to Communication in the Exam Room and Beyond.

Prev

The cholesterol debate: Seeking truth where there is no truth

November 25, 2013 Kevin 1
…
Next

The difficult transition from substandard to standardized coverage

November 25, 2013 Kevin 22
…

Tagged as: Patients, Primary Care

Post navigation

< Previous Post
The cholesterol debate: Seeking truth where there is no truth
Next Post >
The difficult transition from substandard to standardized coverage

ADVERTISEMENT

More by Zackary Berger, MD, PhD

  • Don’t blame Chasidim, or anyone, for not vaccinating. Understand their reasons.

    Zackary Berger, MD, PhD
  • a desk with keyboard and ipad with the kevinmd logo

    Hospitals operate under the assumption that things have to move faster

    Zackary Berger, MD, PhD
  • a desk with keyboard and ipad with the kevinmd logo

    When doctors disagree: What should you tell patients?

    Zackary Berger, MD, PhD

More in Physician

  • Why the real flex in life is freedom of time and self

    Preyasha Tuladhar, MD
  • Clinical attachment in medicine: How familiarity creates safety

    Nesrin Abu Ata, MD
  • Why clinical excellence isn’t enough to sustain a physician-owned hospital

    Dr. Bhavin P. Vadodariya
  • Leading with love: a physician’s guide to clarity and compassion

    Jessie Mahoney, MD
  • Patient expectations in primary care: the structural mismatch

    Ronke Dosunmu, MD
  • The telehealth trap: Why single-service roles lead to burnout

    Adam Carewe, MD
  • Most Popular

  • Past Week

    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • The elephant in the room: Why physician burnout is a relationship problem

      Tomi Mitchell, MD | Physician
    • ADHD and cannabis use: Navigating the diagnostic challenge

      Farid Sabet-Sharghi, MD | Conditions
    • Leading with love: a physician’s guide to clarity and compassion

      Jessie Mahoney, MD | Physician
    • AI and moral development: How algorithms shape human character

      Timothy Lesaca, MD | Physician
    • World Health Organization reframes fertility care as a fundamental right [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Physician on-call compensation: the unpaid labor driving burnout

      Corinne Sundar Rao, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
  • Recent Posts

    • World Health Organization reframes fertility care as a fundamental right [PODCAST]

      The Podcast by KevinMD | Podcast
    • How personal experience shapes perimenopause and menopause care

      Hoag Memorial Hospital Presbyterian | Conditions
    • Pediatric care barriers in West Africa: a clinician’s perspective

      Maureen Oluwaseun Adeboye | Education
    • Anne-Sophie Mutter, John Williams, and the art of aging

      Gerald Kuo | Conditions
    • Why the real flex in life is freedom of time and self

      Preyasha Tuladhar, MD | Physician
    • Why PBM transparency rules aren’t enough to lower drug prices

      Armin Pazooki | Policy

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 92 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • The elephant in the room: Why physician burnout is a relationship problem

      Tomi Mitchell, MD | Physician
    • ADHD and cannabis use: Navigating the diagnostic challenge

      Farid Sabet-Sharghi, MD | Conditions
    • Leading with love: a physician’s guide to clarity and compassion

      Jessie Mahoney, MD | Physician
    • AI and moral development: How algorithms shape human character

      Timothy Lesaca, MD | Physician
    • World Health Organization reframes fertility care as a fundamental right [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Physician on-call compensation: the unpaid labor driving burnout

      Corinne Sundar Rao, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
  • Recent Posts

    • World Health Organization reframes fertility care as a fundamental right [PODCAST]

      The Podcast by KevinMD | Podcast
    • How personal experience shapes perimenopause and menopause care

      Hoag Memorial Hospital Presbyterian | Conditions
    • Pediatric care barriers in West Africa: a clinician’s perspective

      Maureen Oluwaseun Adeboye | Education
    • Anne-Sophie Mutter, John Williams, and the art of aging

      Gerald Kuo | Conditions
    • Why the real flex in life is freedom of time and self

      Preyasha Tuladhar, MD | Physician
    • Why PBM transparency rules aren’t enough to lower drug prices

      Armin Pazooki | Policy

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Doctors who call patients hypochondriacs are committing malpractice
92 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...