Agoraphobia is a fear of being in places of situations which might be
difficult or embarrassing to escape-such as a room full of people or an elevator. In some
cases, panic attacks become so debilitating that the person may develop agoraphobia
because they fear another panic attack. In extreme cases, a person with agoraphobia may be
afraid to leave the house.
Treatment: Desensitization or exposure therapy, in which patients are gradually exposed to
what frightens them until the fear begins to fade, is one recommended treatment. There is
currently no proven drug treatment for agoraphobia, but sometimes certain medications may
be prescribed to help reduce anxiety symptoms before the person faces a phobic situation. Specific
or Simple Phobias are intense fears of particular objects or situations that are, in fact,
relatively safe. People who suffer from specific phobias are aware that their fear is
irrational, but the thought of facing the object or situation causes severe anxiety.
Specific phobias strike more than 1 in 10 people, or approximately 12% of all Americans.
They are the most common psychiatric illness in women, and the second most common in men
over the age of 25. No one knows what causes them, though they seem to run in families.
Phobias usually begin in adolescence or adulthood. They start suddenly and tend to be more
persistent than childhood phobias; only about 20% of adult phobias vanish on their own.
When children have specific phobias -- for example, a fear of animals -- those fears
usually disappear over time, though they may continue into adulthood. No one knows why
they persist in some people and disappear in others.
Examples of specific phobias include: persistent fear of dogs, insects, or snakes; driving
a car; heights; tunnel or bridges; thunderstorms and flying.
Treatment: Desensitization or exposure therapy which gradually exposes patients to what
frightens them until the fear begins to fade, is one recommended treatment. There is
currently no proven drug treatment for agoraphobia, but sometimes certain medications may
be prescribed to help reduce anxiety symptoms before the person faces a phobic situation.
Social
Phobia is the
fear of being humiliated or embarrassed in front of other people. This problem may also be
related to feelings of inferiority and low self-esteem and can cause a person to drop out
of school, avoid making friends, and remain unemployed.
At least 7.2 million Americans experience clinically significant phobias in a given year,
many having social phobia. Occurring in women twice as often as men, although a higher
portion of men seek help for this particular disorder. The disorder typically begins in
childhood or early adolescence and rarely develops after age 25.
Although this disorder is sometimes mistaken for shyness, it is not the same thing. Shy
people do not necessarily avoid them. In contrast, people with social phobia can be at
ease with most of the time, except in particular situations.
Researchers are investigating a biochemical basis for the disorder and are exploring idea
that heightened sensitivity to disapproval may be physiologically or hormonally based and
may be inherited. Other researchers are investigating the environment's influence on the
development of social phobia. People with social phobia may acquire their fear from
observing the behavior and consequences of others, a process called observational learning
or social modeling.
People suffering from social phobia may view small mistakes as large ones; find blushing
painfully embarrassing; feel that all eyes are on them; fear speaking in public, dating or
talking with persons in authority, using rest rooms or eating out, talking on the phone or
writing in front of others.
Treatment: Most people find relief with cognitive=behavioral therapy or medications
(antidepressant) or a combination of the two. Therapy may involve learning to view social
events differently; exposure to a seemingly threatening social situation so that it
becomes easier to face; learning anxiety-reducing techniques, social skills and relaxation
techniques.
Post
Traumatic Stress Disorder once referred to as shell shock or battle fatigue, is a
debilitating condition that follows a terrifying event such as rape, kidnapping, a car
wreck, natural disaster, or witnessing a horrible or tragic event. Whatever the source,
the person repeatedly re-experiences the event through nightmares or persistent,
frightening thoughts and memories. A flashback may cause the person to feel or even act as
though the events were recurring. PTSD is diagnosed when symptoms last more than a month.
Symptoms may be mild or severe and may include: sleep problems; depression; feeling
detached or numb; being easily startled; loss of interest in things previously enjoyed;
trouble feeling affectionate; irritability and feeling aggressive or violent.
At least 4% of U.S. adults (5.7 million people) have PTSD during the course of a year.
About 30% of the women who have spent time in war zones experience PTSD. One million war
veterans developed PTSD after serving in Vietnam. PTSD has also been detected among
veterans of the Persian Gulf War, with some estimates running as high as 8%.
PTSD can develop at any age, including in childhood. Symptoms typically begin within 3
months of a traumatic event, although occasionally they do not begin until years later.
Once PTSD occurs, the severity and duration of the illness varies. Some people recover
within 6 months, while others suffer much longer.
Treatment: Antidepressants and anxiety reducing medications can ease the symptoms of
depression and sleep problems. Cognitive-behavioral therapy is also effective.
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