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Phobias: Types, Symptoms, and Treatments 
 
by Nancy J. Schaaf June 21, 2005

Do you have a fear of snakes, mice, elevators, or heights? Learn when a fear becomes a phobia. Discover the symptoms and treatments available.

While walking along the sidewalk, you suddenly spot the creature. It is looking at you with its large eyes. The animal begins to walk toward you. You freeze. Your heart beats faster, your hands begin to shake, and you experience difficulty in breathing. “Move!” you tell yourself, but you are frozen to the spot.

What is this awful creature that is causing you so much distress? It’s only a tiny Chihuahua. If you are like many others who suffer from cynophobia, this critter can be the cause a real panic attack.

A phobia, from the Greek word meaning fear, is defined as an irrational fear, an intense unrealistic fear. It affects approximately 12% of the American population. Everyone experiences anxiety at some time. Perhaps you are expected to give a speech. It is normal to be a bit uneasy or anxious about the speech, but it becomes a phobia if you worry abut it for weeks prior. If you have a fear of heights, but still visit your mother who lives on the 49th floor of a high rise apartment building, then your fear is not interfering with your life. Most fears do not cause a major disruption in day to day living. Therefore, it is common for people to develop ways of coping with their fears. Usually there is some form of avoidance, such as taking an alternate route to work to evade a bridge. Sometimes, the person will just endure the stress and anxiety caused by the fear.

The causes for developing phobias are not known. Sometimes these fears begin during childhood. It is thought to be a learned process, such as if a parent fears storms, the child may come to dread a storm as well. Another example is if one was bitten by a dog as a youngster, he may have a fear of dogs as an adult. This is understandable. However, it really does not matter how the phobia developed. The important element is whether it interferes with living your life and if so, then one needs to seek treatment.

If a fear makes everyday living impossible, if it keeps you from working or enjoying everyday life, then it has become a phobia. If your fear of dentists means that you let your teeth rot, then it is interfering with a normal life. If your fear of elevators prevents you from going to your place of employment, then it is time to seek treatment which can be quite effective according to the Mayo Clinic.

Phobias are classified into three groups:

Specific phobia:

Specific phobia, the most common type, is an irrational fear of an object or a specific situation. The most frequent is fear of animals such as dogs (cynophobia), spiders (arachnophobia), or snakes (ophidiophobia). Specific phobias such as a fear of enclosed spaces (claustrophobia) and fear of heights (acrophobia) is in this category.

These phobias, occurring in one out of every ten Americans are relatively safe and stem from an intense dread of an object. Usually the person who suffers this phobia is aware that the object is comparatively safe and the fear is irrational. One knows that airplanes are a reasonably safe means of transportation, safer than traveling by auto. Yet, many people are intensely afraid of flying.

Phobia List

  • Triskadekaphobia--fear of #13
  • Ornithophobia--fear of birds
  • Gephyrophobia--fear of bridges or crossing bridges
  • Odontiatophobia or Dentophobia--fear of the dentist
  • Acrophobia--fear of heights

Agoraphobia:

As defined by the American Psychiatric Association, “Agoraphobia is the fear of being alone in any place or situation from which it would be difficult or help unattainable should the need arise.” Most people will develop this disorder after experiencing an intense panic attack in a situation such as being in a room full of people or on a busy street. These attacks are random and the person fears another. The person eventually becomes afraid to leave their own home. This is the most debilitating of the phobias.

Social phobia:

Social phobia is an intense fear of being humiliated or embarrassed in public. This may be connected to low self-esteem. A person with this phobia can be unemployed, avoids making friends, and lives a rather lonely existence. Those with social phobia may exhibit these behaviors: view small mistakes as exaggerated, feel all eyes are upon them, afraid of talking to persons in authority.

General symptoms of phobias:

  • Phobias are emotional but cause the body to exhibit physical symptoms.
  • Feelings of panic and dread or terror
  • Recognition that the fear is abnormal
  • Reactions that are involuntary and out of control
  • Rapid heartbeat, shortness of breath, trembling, sweating, intense anxiety, and an
  • overwhelming desire to leave the situation
  • Extreme measures taken to avoid the feared object or situation
  • Impaired ability to function at normal tasks due to fear
  • Taking usual measure to avoid the cause of your fear

Treatment:

According to the American Psychiatric Association, phobias are treatable. Treatment can be through medication, behavior modification, or cognitive-behavioral therapy. In behavior modification, which is effective with those who experience object or situational phobias such as fear of flying (pterygophobia), a trained therapist assists the person to confront his fears and to control his physical reaction. This may done through a form of deep breathing or exposure therapy in which the person is gradually exposed to his fear and shown coping skills.

Medications can be added in the treatment of panic attacks associated with agoraphobia or social phobia. Paxil, an antidepressant, has been approved by the Food and Drug Administration as a treatment for social phobia. Beta Blockers work by blocking the stimulating effect of epinephrine (adrenaline) which increases heart rate and elevates blood pressure. A sedative in a low dose can be prescribed for a short period.

Most people have some fear or aversion to some object or situation in life. It is when this fear becomes so intense that it causes not only an emotional reaction, but a physical one as well, that it becomes a phobia. When life has become miserable due to fear, when leaving the house becomes impossible, when employment becomes difficult, seek treatment. There is hope. Remember an old German proverb: “Fear makes the wolf bigger than he is.”


 

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