Hi RebelYell (that's a good powerful name to start with
![Wink ;)](https://www.menopausematters.co.uk/forum/Smileys/extended/wink.gif)
)
I have been there (even the nail worry) and I am sort of back in the driving seat, so a semi success story. All of us are different, so the reasons behind the choice to worry about health are all different. However the basics of how worry is a destructive and pointless habit are the same and the techniques to manage mind over matter are really very effective.
I don't know whether you chose the therapy and therapist to specifically tackle this issue, either way, I have every confidence you will make progress with support. I had some CBT which really helped but then I started counselling as I knew there were root causes as to why I resort to health worries when under chronic stress. So basically I have had to unpack things a bit, but that might not be necessary.
Either way, I believe the approach given to me has worked to help reduce the level of worry and manage it better. I was getting in such a state I could not think straight. When we are anxious we literally cannot be rational, it's a brain/biological thing - we start using our 'animal' brain. Underneath all fears is often the fear of death and uncertainty - things out of our control and the starting point to regaining a sense of control is to decide what you can do about your worry and whether you need to worry in the first place. Often the worry is the thing out of control, not the health issue. It IS possible to tame worry, contain it and use it positively to solve problems.
I know all that seems obvious but when in an anxious state it isn't easy - the counsellor will help, I am sure. Slow down your thinking and help you get back in the driving seat.
Things I tend to ask myself now with a health anxiety is 1) is it unusual for me 2)is it ongoing 3)is it serious enough. Then I can start to slow things down and make rational decisions about what action, if any needs taking. Basically not to panic and catastophise.
After that comes the worry of investigations, going to the doctor etc............but with a slower mind, the whole process loses a lot of fear.
Wishing you well with your appointment and well done for tackling this head on, it's exhausting and good to get more skilled at taming it