David Crawford MD discusses phobia

According to psychiatrist David Crawford MD, a phobia is an excessive an irrational fear reaction. If you have it, you may experience a deep and irrational sense of dread or panic when you encounter the source of fear, which can be anything from a certain place, situation, or object. The main difference between a phobia and general anxiety disorders is that this is rooted from and connected to something specific. Its effects can be severely disabling, as individuals suffering from it often fail to recognize that their fear is irrational, but at the same time, they cannot do anything about it, thus interfering with professional and personal relationships.

A phobia can be caused by numerous things, including genetic and environmental factors, such as distressing events and near-death experiences. Exposure to confined spaces, extreme heights, or animal or even insect bites can be sources of phobias. Similarly, individuals with ongoing medical conditions or health concerns can also develop phobias, especially following traumatic brain injuries, incidents of substance abuse, and depression.

The most common and disabling symptom of a phobia is a panic attack, wherein an individual suffers from a pounding heart, shortness of breath, rapid speech or the inability to speak, dry mouth, upset stomach, nausea, elevated blood pressure, shaking, chest pain, lightheadedness, profuse sweating, and a sense of impending doom.

Types of phobia include agoraphobia, or a fear of places or situations you feel you cannot escape from. Social phobia is also another type wherein one worries excessively over social situations, which can lead to self-isolation. Glossophobia, also known as performance anxiety, is another type, as is acrophobia, or the fear of heights. David Crawford MD says claustrophobia is one of the most common types of phobia, where one fears enclosed or tight spaces. Aviophobia is known as the fear of flying, while homophobia is the fear of blood or injury. There are many treatment options for phobias, including cognitive behavioral therapy (CBT), which involves exposure to the source of fear in a controlled setting, as well as medication.

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