{
  "assessmentTests": {
    "health_anxiety_screener": {
      "name": "Health Anxiety Check-In",
      "desc": "A 21-question self-reflection across three domains: body-symptom hypervigilance, reassurance-seeking and avoidance behaviors (including compulsive online symptom-checking), and catastrophizing health information.",
      "recommendation": "Your health anxiety profile",
      "questions": [
        {
          "question": "I scan my body for unusual sensations even when nothing seems wrong.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "An unexplained ache or sensation can stay on my mind for the rest of the day.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I check my pulse, temperature, or other vital signs more often than most people I know.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Once I notice a new bodily sensation, it's hard to stop paying attention to it.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've pressed on or examined a part of my body repeatedly to check whether something feels different.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Sensations that other people would barely notice feel very noticeable to me.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I keep track of my symptoms from day to day, watching closely for any change.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I search my symptoms online to figure out what might be causing them.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Searching for symptoms online tends to leave me more worried than before I searched.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I ask people close to me for reassurance about a symptom even after they've already told me it's probably fine.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I book a doctor's appointment mainly to be told that everything is okay.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I avoid medical checkups or tests because I'm afraid of what they might find.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've put off seeing a doctor about something that worried me because I'd rather not know.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Reassurance about a symptom only calms me down for a little while before I start worrying about a new one.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "When I notice a new symptom, my mind jumps straight to the most serious possible cause.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "A single minor symptom is sometimes enough to convince me I have a serious illness.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Reading about a disease's symptoms makes me wonder whether I have it, even without a clear reason to think so.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "A minor ache or bout of tiredness makes me think \"something is seriously wrong\" more often than \"this will probably pass\".",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I imagine worst-case medical explanations for a symptom more readily than everyday, harmless ones.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "It's hard for me to fully accept a doctor's reassurance that a symptom is minor.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I have health-related worries or intrusive thoughts even when I'm not currently experiencing any physical symptoms.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        }
      ],
      "dimensions": {
        "body_symptom_hypervigilance": {
          "name": "Body-Symptom Hypervigilance",
          "desc": "How closely you monitor your body for unusual sensations, and how much a noticed sensation tends to hold your attention once you've found it.",
          "high": "You track bodily sensations closely, and a new or unexplained one is hard to let go of once you've noticed it.",
          "low": "Bodily sensations mostly pass without much notice for you, and you don't find yourself checking or tracking them.",
          "icon": "🩺",
          "science": "Barsky, A.J., & Wyshak, G. (1990). Hypochondriasis and somatosensory amplification. British Journal of Psychiatry, 157, 404-409."
        },
        "reassurance_seeking_avoidance": {
          "name": "Reassurance-Seeking & Avoidance",
          "desc": "Whether you manage health worry by searching for answers and reassurance, sometimes called 'cyberchondria' when it happens online, or by avoiding medical information and care altogether.",
          "high": "You either seek reassurance often, symptom searches, doctor visits, asking people close to you, or avoid medical care specifically to dodge worrying news. Either way, the relief tends to be short-lived before the worry returns.",
          "low": "You approach medical care and health information in a fairly matter-of-fact way, without a strong pull toward either constant reassurance-seeking or avoidance.",
          "icon": "🔍",
          "science": "Starcevic, V., & Berle, D. (2013). Cyberchondria: towards a better understanding of excessive health-related Internet use. Expert Review of Neurotherapeutics, 13(2)."
        },
        "catastrophizing_health_info": {
          "name": "Catastrophizing Health Information",
          "desc": "How readily a minor symptom or a piece of health information gets interpreted as a sign of serious illness, one of the core patterns in DSM-5 illness anxiety disorder criteria.",
          "high": "Minor symptoms and everyday health information tend to trigger your most serious possible interpretation first, even when a harmless explanation is just as likely.",
          "low": "You tend to interpret symptoms and health information in proportion to how serious they usually turn out to be, without jumping to worst-case conclusions.",
          "icon": "😱",
          "science": "American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.) — Illness Anxiety Disorder diagnostic criteria."
        }
      },
      "results": {
        "minimal": {
          "name": "Minimal Health Anxiety",
          "desc": "Your responses suggest that body-checking, reassurance-seeking, and catastrophic health worries aren't a significant pattern in your life right now. You likely respond to your body's signals in a fairly proportionate, matter-of-fact way.",
          "recommendation": "There's nothing here that suggests a need to change anything. If a health worry ever does start to feel bigger or more persistent, the three domains above are a useful way to check back in on where things stand."
        },
        "mild": {
          "name": "Mild Health Anxiety",
          "desc": "You notice bodily sensations and health information a bit more than most, and every so often a symptom or a search leaves you more worried than the situation probably calls for. This is a common experience and doesn't mean anything is wrong with you — noticing something unusual in your body and wanting an answer is a normal instinct that just runs a little strong for you at times.",
          "recommendation": "It's worth noticing which situations tend to trigger the worry, a specific sensation, a stretch of online searching, so you can catch the pattern early. Simple habits, like setting a personal limit on symptom searches, can help keep it from building."
        },
        "moderate": {
          "name": "Moderate Health Anxiety",
          "desc": "Body-checking, reassurance-seeking or avoidance, and catastrophic health worry appear to be showing up together as a real pattern for you, one that's likely costing you time, energy, or peace of mind. Health anxiety is often dismissed as 'just being a hypochondriac,' but the distress it causes is real, and this is a recognized, treatable pattern rather than a character flaw or an exaggeration.",
          "recommendation": "Consider talking to a therapist, ideally one experienced with health anxiety or illness anxiety disorder. Cognitive Behavioral Therapy (CBT), including approaches that gradually reduce reassurance-seeking and body-checking, has a strong evidence base for this specific pattern."
        },
        "high": {
          "name": "High Health Anxiety",
          "desc": "Your responses point to a significant, consistent pattern of body-monitoring, reassurance-seeking or avoidance, and catastrophic interpretation of health information, and that combination can be genuinely exhausting to live with day to day. This screener measures an anxiety pattern, not whether a physical illness is present or absent, so it isn't a statement about your physical health either way, only about how much space health worry may be taking up in your life.",
          "recommendation": "A conversation with a therapist familiar with illness anxiety disorder or health anxiety is a reasonable next step, and your regular doctor can help address any physical concerns alongside that. CBT approaches built specifically for health anxiety have good evidence for reducing this pattern's grip over time, and you don't have to sort out which parts are 'real' before getting support."
        }
      }
    }
  },
  "testNames": {
    "health-anxiety-screener": "Health Anxiety Check-In"
  }
}