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cover of episode 🎤 PODCAST • Hypochondriac ~ My coworker is a hypochondriac and claims exaggerated illnesses.

🎤 PODCAST • Hypochondriac ~ My coworker is a hypochondriac and claims exaggerated illnesses.

2025/6/27
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www.drkenner.com Answers Your Questions

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Ellen Kenner
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Mary Beth
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Mary Beth:我的同事每天都抱怨自己超重,而且我认为她有疑病症,总是关注发生在自己身上的坏事。她声称自己患有多种疾病,包括注意力缺陷障碍、经期后综合症、骨刺和图雷特综合症。她经常去看医生并服用药物,如果她不服药,她就会声称自己患有偏头痛。我从未亲眼见过她所说的任何症状,我已经和她一起工作了近两年。我曾试图和她谈论这件事,但她不接受批评,她会哭,认为每个人都讨厌她,而且她可能不再和我说话。我应该怎么做? Ellen Kenner:从你描述的情况来看,你的同事将她的身份建立在拥有她可以表现为已经克服的疾病之上,而且她想表现得很坚强,这引起了很多人的关注。我不相信你的同事,我认为她在撒谎和捏造事实,她不可信。如果你的同事患有图雷特综合症,并且没有服用药物或寻求认知疗法或其他疗法来帮助她控制症状,你肯定会注意到。她会哭,并表现出一种惹人怜悯的样子,她说每个人都会讨厌她,这是在乞求安慰和友谊。她希望你把她看作是英雄,她希望自己有这样的形象,并且希望周围的人与她串通一气,同意她的观点。如果你的同事是办公室里唯一的一个,那么你就有问题了,我建议你告诉她,你已经向自己承诺过,你不想关注任何疾病,你可以和她谈论其他事情,比如园艺或晚餐。和同事之间的友谊应该建立在相互愉悦和价值交换的基础上,而不是建立在战争故事、怜悯或内疚之上。

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Chapters
A coworker constantly complains about various illnesses and ailments, despite showing no visible symptoms. The narrator has tried to address the situation, but their attempts have been unsuccessful. The question is whether to confront her again or ignore the behavior.
  • Coworker claims numerous illnesses (overweight, ADD, post-menstrual disorder, bone spurs, Tourette's syndrome).
  • Narrator has tried speaking to the coworker but was unsuccessful.
  • Coworker cries and feels criticized when confronted.

Shownotes Transcript

Translations:
中文

Here is a question I received from Mary Beth. She said, Dear Dr. Kenner, I have become friends with a co-worker who is a little overweight and brings attention to this every day. Now, you know what it's like to be in an office and you've got a co-worker who constantly says, Oh, don't I look fat? Or they're constantly complaining about something, but there doesn't seem to be any progress with it.

Well, stay tuned. Listen to the rest of her question. She said,

Not only does she talk about being overweight every day, but she is also what I believe to be a hypochondriac, you know, someone who focuses on bad things happening to them. Typically a hypochondriac or technically a hypochondriac is somebody who is convinced that they have a disease, disease du jour, let's say AIDS or cancer, and they doctor shop and a doctor will say, hey, you know what, you don't have it, and they shop around again to find another doctor who can help them out.

and tell them that they really do have cancer or AIDS or some other problem. So it sounds like she's really, when you hear what's coming, she's got not just one issue that she's focused on, she's got many. So she talks about being overweight. You think she's a hypochondriac because she claims to have attention deficit disorder, a post-menstrual type of disorder, bone spurs, Tourette's syndromes,

and all other sorts of problems. She regularly goes to doctors and gets medication for these. If she does not take her medication, she claims to have migraines, yet she continues to work under fluorescent lights and deals with noise and heat like it's nothing. She continues to live her life as though she is a trooper and she can ignore all pain.

I personally have yet to witness any of these symptoms she supposedly has, and we have worked together for almost two years. I've tried to speak with her about this, but she doesn't take criticism well. She cries and thinks that everybody hates her, and she'll probably no longer talk to me. What do I do about this situation? Should I just ignore it, or should I confront her again and suffer the consequences? Mary Beth

Mary Beth, from what you've described, this is a woman who has wrapped her identity around having disorders that she then can just present herself as having overcome. And not overcome them in having gotten rid of them, but she's just the tough one. Now notice it draws a lot of attention to herself. Also notice it's easy to ignore non-existent disorders that you have. So you're saying...

I don't get it. I don't believe her. I think she's lying. I think she's fabricating. She's not credible. And it's not like it's the first day on the job with her. You've had two years to observe her. And believe me,

If she had Tourette's disorder and she was not taking her medication or not seeking cognitive therapy or some other sort of therapy to help her manage her symptoms, you would notice it because what does Tourette's syndrome involve? It involves having multiple vocal tics,

or motor tics such as the vocal tics might be grunting or kicking or shouting. The motor tics might be hitting yourself or yelling up obscenities or repeating words. Those would be vocal tics, but kicking or punching. And those are not something that you can miss. I mean, someone can have a little sneeze and you might miss it because they kind of suppress it, but these are hard to miss.

So the next question is, should you confront her or not? Well, you've already tried it, and she doesn't like anyone challenging her. And that, too, is telling, because if somebody really had the problems... Hey, I've got to interrupt this, because we've got to pay some bills. 30 seconds, that's it. A very quick ad, and then Ellen will be back.

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And that too is telling because if somebody really had the problems, they would explain to you, oh yes, but I take this medication and I go to this therapist and it works well. That's why you're not seeing the problems. But they wouldn't be angry with you.

But she also cries, has this real appeal to pity. Everybody will hate me. And what does that pull from? When you're sitting with her and she said, you know, everybody will hate me, it's going to make you feel guilty and say, oh, that's not true. I like you. It's like a begging for reassurance, a begging for friendships. You don't want friendships to be based on feeling sorry for her or begging for

her begging you. And you don't want to have to fake your own mind that she has these illnesses. And it sounds like she wants you to see her as heroic. She wants that image of herself and she wants the people around her to collude with her in this and go along with it. Now, you are not her therapist. If you were her therapist, you would help her explore more

moments when this isn't working for her and notice differences, but you're not her therapist. So the big question I have for you is,

are there any other co-workers in in your office is she the only one if she's the only one then you have a problem and what i would recommend there is just to say to her listen i've made a promise to myself i don't want to focus on any illnesses and she may say well what do you mean you don't want to talk to me anymore no we can talk about lots of other things you're planting a garden or some other what you're baking for dinner or some exciting project that you're working on i

I want to talk about illnesses. So what would be a good way to remind each other if we start to get on an illness path?

I know with... I've even recommended to people, you know, bring in a little trash, not a trash bag, but a little plastic bag. And if you pretend to throw your talk about illnesses or negative topics into that, if people get off track. Now, that may not work with her because she's very highly defended. But you can also consider...

taking coffee breaks with someone else if she's not the only one in the office. It's not your duty to be friends with her. A friendship flows from feeling a mutual pleasure, a mutual enjoyment with each other. You're trading values. You're not trading war stories or pity or guilt. Now, people do talk about, you know, someone just had a baby or someone had an operation. You do talk about that, but if that is the only thing on your plate...

It's not a solid friendship. So you may want to choose differently. For more Dr. Kenner podcasts, go to drkenner.com and please listen to this ad. Here's an excerpt from The Selfish Path to Romance, the Serious Romance Guidebook by clinical psychologist Dr. Ellen Kenner and co-author Dr. Edwin Locke.

Thank you.

Don't expect your partner to understand you if you do not understand yourself. Demanding that your partner spend hours upon hours probing your subconscious when you have no idea what's in there creates an impossible burden. If you expect this from your partner, consider consulting a therapist to help learn about yourself.

You can download Chapter 1 for free by going to drkenner.com