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What is a phobia?

by Chris Williams, MD

You may have friends or relatives who are very scared of animals such as spiders, or of situations such as heights, or you yourself may have such fears. Sometimes we may become so fearful that even just thinking about the feared situation can result in strong feelings of panic.

We may avoid anything to do with that situation as a result. This can lead to an increasingly restricted lifestyle, lack of confidence and additional long-term distress. When this occurs, we are described as having a phobia. Phobias, worry, depression and panic attacks commonly occur together.

Definition: A phobia describes problems of high anxiety (often with panic attacks) that regularly occurs in a particular situation.

We become overly aware of any possible threats relating to our fear and try to avoid or quickly leave any situation, people or places that cause us to feel anxious. We often know logically that the situation will not harm or kill us, yet we experience the anxiety anyway.

There are many different types of phobia:

Avoidance of specific situations or objects. For example, a common phobia is a fear of heights. Almost any object can become a cause of phobic fear, for example insects, wasps, or spiders.

Avoidance of one to one and other conversations with people. This is called social phobia where there is excessive shyness and very high anxiety in social situations. Sometimes there may be a more focused fear of public speaking to a large group of people. For example, a teacher may become anxious leading a class.

Avoidance of specific places. You may have heard of people who have panic attacks on buses or in shops or other crowded situations where it is difficult to escape. This is called agoraphobia - one of the most common forms of phobia.

Virtually any situation, places or people can become the focus of a phobia. Each phobia has a specific name however, the description above summarises the main types that occur.

Virtually any situation, places or people can become the focus of a phobia. Each phobia has a specific name however, the description above summarises the main types that occur.

Phobia checklist:

Q. Do I notice strong feelings of anxiety or panic when I face particular situations, people or places?

Q. Does even thinking about these situations, places or people make me feel nervous?              

Q. Have I become overly sensitive to anything to do with the phobic fear?

Q. Am I downplaying my own ability to overcome these fears?

Q. Am I avoiding these situations, places or people?

Q. Overall, am I living an increasingly restricted lifestyle as a result?

If you have answered Yes to any of these questions, then you may have a phobia. Talk to your health care practitioner about this.

If you have answered Yes to any of these questions, then you may have a phobia. Talk to your health care practitioner about this.

Next step: To find out more you could read Workbook 3: Understanding panic and phobias in the book Overcoming Anxiety: A Five Areas Approach.

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article source: Living Life to The Full site by Dr. Williams

Chris Williams, MD is a Psychiatrist and Cognitive Therapist, and author of the books:

Overcoming Depression: A Five Areas Approach

Overcoming Anxiety: A Five Areas Approach

I'm not supposed to feel like this: A Christian self-help approach to depression and anxiety.

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