4.1.4b - Phobias

Tuesday 16th January ‘24

How is it defined?

  • An extreme or irrational fear of an extreme situation.

  • A group of mental disorders characterised by high levels of anxiety in response to a particular stimulus or group of stimuli. The anxiety interferes with normal living.

  • Depression, phobia and OCD are 3 of the most common mental disorders.

  • Examples: vestiphobia - fear of clothing; astraphobia - fear of thunder; belonephobia - sharp object; pogonophobia - fear of beards; ichthyophobia - fear of fish; cynophobia - fear of dogs.

What does a phobia look like for somebody?

  • Phobias are anxiety disorders which interfere with daily living.

    • It is an instance of irrational fear that produces a conscious avoidance of the feared object or situation.

    • Responses: panic, avoidance, failure to function,

  • DSM-V (Diagnostic and Statistical Manual of Mental Disorders 5th Edition)

    • Marked and persistent fear of a specific object and situation.

    • Exposure to the phobic stimuus nearly always produces rapid anxety response.

    • Fear of phobic object or situation is excessive.

    • Phobic stimulus is either avoided or responded to with great anxiety.

    • Phobic reactions interfere significantly with the individual’s working or social life, they are very distressed by the phobia.

How can we categorise phobias?

  • Simple (specific) phobias - fear of a specific object in the environment, the most common type

    • Subcategories

      • Animal phobias - eg arachnophobia

      • Injury phobias - eg haemotophobia

      • Situational phobias - eg aerophobia

      • Natural phobias - eg hydrophobia

  • Social phobias - feelings of anxiety in social situations, feeling of being judged.

    • Subcategories

      • Performance - eg public speaking or eating at a restaurant.

      • Interaction - eg having to answer questions on an interview panel.

      • Generalised - eg mixing with others in a large crowd at a concert.

  • Agoraphobia - fear of public and open spaces so may suffer from anxiety and panic attacks.

    • Can be caused by simple or social phobias. eg mysophobia (contamination) can lead to fear of open spaces.