Specific phobia

Specific phobias are a type of panic or anxiety disorder related to specific triggers. Similar to other phobias, a specific phobia must result in significant amounts of distress in order to qualify as a disorder. The amount of anxiety or fear caused by the presence of the triggering stimulus must be irrational and significantly disproportional to the threat caused by the stimulus. The stimulus, or the thought of it, must also cause anxiety for at least six months afterwards.rssphealth-20190201-43-174098.jpgrssphealth-20190201-43-174079.jpg

Some specific phobias are triggered by specific objects, such as snakes or insects. Others are triggered by situations, such as a fear of medical offices or riding in cars. These situations are often common enough to cause significant impairment to the individual’s daily life. Psychologists often help patients undergo cognitive behavioral therapy (CBT) to help reduce the stress and anxiety from the presence of the stimuli. This involves helping patients relax during stressful situations, identifying thoughts that result in stress, and teaching patients different patterns of thinking.

Background

Psychologists classify phobias as anxiety disorders that result in excessively strong, irrational fears. Phobias are very different than the type of fear sensation experienced by people in an actual dangerous or harmful situation. In order to qualify as a phobia, a fear must be so strong that it interferes with an individual’s daily life. In most cases, a phobia is a fear of something that cannot actually hurt the person. If the focus of the phobia is genuinely dangerous, it must be something so rare that the individual suffering from the phobia is extremely unlikely to encounter it. For example, someone who may avoid going to the beach may have an unnatural fear of sharks.

All phobias are rooted in anxiety, but the types of phobias people experience differ greatly from one another. For example, complex phobias tend to develop during adulthood and are often extremely disabling. They can have a severe impact upon the daily life of an individual. Two of the most common complex phobias are social anxiety disorder and agoraphobia. Social anxiety disorder is an intense fear or anxiety of common social situations. It can cause individuals to have an irrational fear of socialization and to avoid situations where social interaction might be necessary. These situations can range from public speaking, to starting a conversation with another person, to talking on the telephone.

Agoraphobia refers to a complex fear of places or situations from which it might be difficult to escape, or get help in the event of a panic attack. Because phobias can result in panic attacks, this can cause an intense fear of such attacks to an extent that it can actually trigger an attack. Agoraphobia can cause individuals who suffer from the disorder to avoid crowds of people, large open spaces, leaving home, and traveling in cars or other enclosed spaces.

Overview

Like social anxiety disorder and agoraphobia, specific phobias are an irrational fear so powerful that it can interfere with an individual’s daily life. However, unlike complex phobias, specific phobias are triggered by specific objects, events, or occurrences. In most cases, individuals with specific phobias are triggered by situations that make people slightly to moderately uncomfortable. These objects or situations might be slightly dangerous or carry an unpleasant connotation. However, individuals suffering from specific phobias have an extreme reaction that is disproportionate to the risk.

Some individuals with specific phobias are triggered by animals or insects. Other specific phobias are caused by bodily interactions, such as choking or vomiting. Still others might be triggered by situations, such as driving through a tunnel or visiting the doctor’s office.

In rare cases, specific phobias can develop during childhood, but they most often begin during adolescence or adulthood. In order to qualify as a phobia, the fear reaction to the stimulus must last for at least six months. The individual suffering from this disorder does not need to be exposed to the triggering experience during those months, but the thought of the trigger must bring on some form of anxiety. In most cases, individuals with one specific phobia also have other specific phobias. Collectively, these phobias can put a significant strain on the individual’s life.

Psychologists are unsure about the exact cause of specific phobias. However, they know that certain factors can increase an individual’s likelihood of developing a specific phobia. For example, individuals with frequent negative thoughts are more likely to develop specific phobias. Additionally, individuals who have suffered abuse in the past, who have suffered trauma that originates from a common phobia trigger, or who have a parent or sibling with phobias are more likely to develop specific phobias.

Most specific phobias can be addressed with proper treatment. Though they may not be eliminated by treatment, in most cases the severity of the symptoms can be greatly reduced. Most psychologists recommend cognitive behavioral therapy for treating specific phobias. CBT is a form of psychological treatment that is commonly used to change the thought patterns of a patient. When undergoing CBT, patients learn to recognize the harmful types of thinking that are causing them distress, and reevaluate those situations outside of the stressful context. They learn to utilize specialized problem solving skills to cope with their unique stressors. Patients undergoing CBT develop the confidence to use those tools in the situations causing them significant distress. Strategies for tackling disorders with CBT also include teaching the patient to consciously relax in difficult situations. Patients can also be taught to face their fears directly until they learn that the source of the fear is unlikely to harm them.

Background

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“What is Cognitive Behavioral Therapy?” American Psychological Association, 2019, www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral. Accessed 2 Mar. 2019.

Wodele, Andrea, and Matthew Solan. “What Are Phobias?” Healthline, 19 Jul. 2017, www.healthline.com/health/phobia-simple-specific. Accessed 2 Mar. 2019.