Phobia

Medical Review

Written by: Dr. Von Chiao Wen Doctor of Medicine (MD), N.I. Pirogov Russian National Research Medical University
Reviewed by: Dr. Lee Chin Meng Doctor of Medicine (MD), Manipal Academy of Higher Education (MAHE)

Overview of Phobia

Phobia is an irrational fear capable of causing anxiety and avoidance of the feared situation or object. It is one of the most common psychiatric disorders. If a phobia turns severe, it can cause a lot of distress.

Signs and Symptoms of Phobia

Persistent and excessive fear elicited by a specific situation or object, Fear of losing control , Feelings of dread, Choking sensation, Difficulty breathing, Headaches, Dizziness, Nausea, Rapid heartbeat and breathing, Chills or hot flushes, Sweating, Trembling, Dry mouth, Numbness, Diarrhea

Common Causes of Phobia

Early negative childhood experience such as traumatic events or stressful situations, Genetic factors such as family history of phobia, Learned behaviour if you have observed a family member’s phobic reaction, Having parents who are particularly anxious, Altered brain functioning

Risk Factors of Phobia

Age especially those below 10 years old, Negative childhood experience such as traumatic events or stressful situations, Learning about a negative experience, Genetic factors such as family history of phobia, Learned behaviour if you have observed a family member’s phobic reaction, Having parents who are particularly anxious, People who are more sensitive or negative

Investigation Techniques for Phobia

Medical, psychiatric and social history to look for signs of underlying medical condition and substance abuse, Physical examination to look for signs of underlying medical condition and substance abuse, Psychological evaluation, Comparison of symptoms to criteria in Diagnostic and Statistical Manual of Mental Disorders (DSM-5), Lab test for :Thyroid function tests, Fasting glucose, Calcium, 24-hour urine for 5-hydroxyindoleacetic acid (5-HIAA), Drug screen, Electrocardiography (ECG)

Treatment and Prevention of Phobia

Psychotherapy such as cognitive behavioural therapy and exposure therapy, Anxiolytics or hypnotics such as benzodiazepines and beta blockers, Some cases can be prevented if parents who have phobias get treatment early and avoid having children observe their phobic reactions

Available Phobia Medicines

No medicines currently available for this condition.

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