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What defines a specific phobia?
Irrational, intense fear of a specific object or situation that causes avoidance and distress.
Minimum duration for diagnosis
6 months.
Most effective treatment
Exposure-based Cognitive Behavioral Therapy (CBT).
Typical age of onset
Before age 10, with a mean age of around 10.
Phobia subtype causing fainting
Blood-injection-injury type (due to vasovagal response).
More commonly affected gender
Females, approximately 2:1 ratio.
Prevalence in US teens
16%.
Five specifier types
Animal, natural environment, situational, blood-injection-injury, other.
Fear vs. Anxiety
Fear = imminent threat; Anxiety = anticipation of future threat.
Shared risk factor with anxiety disorders
Negative affectivity (neuroticism).
Criteria A
Marked fear or anxiety about a specific object or situation.
Criteria B
The phobic object or situation almost always provokes immediate fear or anxiety.
Criteria C
The object is actively avoided or endured with intense fear or anxiety.
Criteria D
Fear is out of proportion to actual danger and sociocultural context.
Criteria E
Fear, anxiety, or avoidance lasts 6 months or more.
Criteria F
Causes clinically significant distress or impairment.
Criteria G
Not better explained by another mental disorder.
Temperamental risk factors
Neuroticism and behavioral inhibition.
Environmental risk factors
Traumatic experiences or learned associations.
Genetic risk factor for animal phobia
First-degree relative with same phobia.
Older adult symptom presentation
Through physical symptoms, health complaints, or cognitive changes.
Phobia type with later onset
Situational (e.g., elevators, airplanes).
Percent with multiple phobias
Approximately 75%.
Diagnosis method
Clinical interview, questionnaires, and ruling out other disorders.
Common behavioral treatments
Systematic desensitization and exposure therapy.