Phobias - Talkspace https://www.talkspace.com/blog/category/phobias/ Therapy For How We Live Today Wed, 27 Mar 2024 01:46:18 +0000 en-US hourly 1 https://www.talkspace.com/blog/wp-content/uploads/2021/10/favicon.png Phobias - Talkspace https://www.talkspace.com/blog/category/phobias/ 32 32 The Value in Therapy for Phobias https://www.talkspace.com/blog/therapy-for-phobias/ Tue, 21 Feb 2023 15:50:09 +0000 https://www.talkspace.com/blog/?p=29647 Updated 10/05/23 Phobias can be debilitating and have a significant impact on your life. Unfortunately, they’re also very…

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Updated 10/05/23

Phobias can be debilitating and have a significant impact on your life. Unfortunately, they’re also very prevalent. According to research, an estimated 9.1% of adults in the US had an identified, specific phobia within the last year — and nearly 12.5% will experience one at some point during their life. 

Phobias can cause you to feel anxious, overwhelmed, or even scared in certain situations, but there is hope. Therapy is an incredibly effective way to treat and manage phobia symptoms.

Phobia therapy helps you understand the root of your fear so you can learn to manage it better. Through treatment, you’ll begin to identify triggers for your phobia and develop effective coping strategies. You’ll also gain insight into why you developed your phobia in the first place, which can help you work through your fear. 

Whether you suffer from a simple phobia or a complex phobia, there are many ways a mental health professional can help you learn how to manage your symptoms. Read on to learn more about therapy for phobias, how you can take back control over your life, and how online therapy can be the best choice for you.

How Therapy Can Help You Overcome Phobias

Phobia therapy is an effective way to help you manage and overcome your phobias. During therapy, you’ll start addressing irrational fears associated with a particular object or situation. Seeking professional help can be vital for anyone struggling with a unique or common phobia, and knowing how to get the most out of therapy is the next step. Any form of therapy like talk therapy or behavior therapy can help you gain insight into why you developed this condition and learn how to address it.

“Fear is one thing, but phobias present a disproportionate level of anxiety about specific things and can truly hinder moving through the day-to-day business of life. Therapy or working with another professional, to gain some perspective on how to manage the onset of the associated stress and also navigate the emotions behind it, can empower you to regain control over these sometimes irrational fears, symptoms, and reactions.”

Talkspace therapist Elizabeth Keohan, LCSW-C, LICSW, LCSW

Benefits of therapy for phobias

Fortunately, phobia therapy is an effective way to manage and reduce symptoms. Some of the benefits of therapy for phobias include the following:

  • Increased self-awareness: Therapy helps you gain insight into the thoughts, feelings, and behaviors related to your simple or complex phobia. This increased self-awareness can help you better understand why you have certain reactions when faced with situations or a feared stimulus that triggers you.
  • Improve coping skills: Phobias can cause you to rely on unhealthy coping mechanisms like avoidance or substance use. Through therapy, you can learn how to cope with difficult emotions in healthy ways. You’ll develop and practice problem-solving skills and coping techniques so you can address issues more effectively without feeling overwhelmed.
  • Reduced anxiety symptoms: Therapy successfully treats phobias because it focuses on negative thought patterns associated with a feared stimulus or anxiety responses. It can help you become aware of unhealthy patterns and replace them with positive ones. Ultimately, behavior therapy results in less intense emotional reactions — reduced anxiety — when faced with challenging situations or a phobic stimulus.
  • Improved relationships and quality of life: The strategies you learn in therapy to manage phobias-related stressors like relaxation techniques or mindfulness practices might allow you to participate in activities you once avoided. This could lead to improved relationships and an enhanced quality of life.

What Are the Best Types of Therapy for Phobias?

Therapy can help you manage your fears and live a more fulfilling life. Of course, when it comes to treatment for phobias, the best type of cognitive therapy will depend on individual needs and the type of phobia you have. That said, some forms of therapy are known for their efficacy in treating phobias.

Exposure therapy 

Exposure therapy is one of the most effective treatments for phobias. It involves gradually being exposed to your fear to desensitize yourself from it over time. This type of therapy works by helping you confront your fear head-on and learn how to cope with it in manageable steps. 

For example, if you fear flying, in the beginning, exposure therapy might involve simply looking at related pictures or videos of planes and passengers on aircraft. Then, eventually, you’ll work up to getting on an airplane and taking off. With the constant improvement of technology, virtual reality exposure therapy is now being used to help individuals face their phobic stimulus head on and overcome their overwhelming anxiety.

Cognitive behavioral therapy (CBT)

CBT is another popular form of cognitive therapy for treating phobias. It focuses on changing negative thought patterns associated with your fear so you can better manage it in real-life situations. 

Through cognitive behavioral therapy techniques, you’ll work closely with a therapist to identify irrational thought patterns that contribute to your anxiety disorder. 

If certain conditions or objects are triggering, you can work on strategies to overcome them through cognitive restructuring techniques. These techniques include reframing negative thoughts into positive ones or challenging false assumptions about feared outcomes.

“Both Cognitive Behavioral Therapy (CBT) and Exposure therapy encourage insight and mindfulness to help you deconstruct rigid and specific fears about your phobia. Over time, increased mindfulness can help decrease stress and encourage more productive thoughts .”

Talkspace therapist Elizabeth Keohan, LCSW-C, LICSW, LCSW

Hypnotherapy 

Hypnotherapy uses hypnosis as part of the treatment process. Hypnosis helps you relax deeply so you’re ready and able to access your subconscious mind and explore underlying issues causing your fears. 

This alternative form of therapy allows you to go through this process without feeling overwhelmed emotionally. In addition, it’s been known to reduce physical symptoms associated with severe anxiety — including rapid heart rate and sweating — making it easier to control your emotions as you work through your fear.

Eye movement desensitization & reprocessing (EMDR)

EMDR therapy combines elements from cognitive behavioral therapy (CBT) and exposure techniques but adds eye movements into the mix. It can help you reprocess traumatic memories stored within the brain, so they no longer cause distress when recalled.

Relaxation techniques 

Relaxation techniques like deep breathing exercises, progressive muscle relaxation, guided imagery, mindfulness meditation, and yoga are all excellent tools for managing stress levels caused by phobic triggers.  

These activities focus on calming your body down physically and reducing tension build-up. They allow you to regain control and power so you feel less helpless or powerless.

What Happens If Phobias Are Left Untreated?

Without treatment, phobias can become more severe. You might begin avoiding situations that trigger your fear. Unfortunately, avoidance can reinforce your phobia, making it even harder to overcome in the future.

  • Anxiety symptoms can worsen — When you have an untreated phobia, you’ll often experience increased anxiety each time you face your fear. This intense anxiety can lead to physical symptoms like rapid heart rate, sweating, trembling or shaking, nausea, or dizziness. These symptoms are uncomfortable and can interfere with daily activities like work or school performance.
  • Intense fear can become disabling — Without a treatment option for a phobia, you might become unable to do things you once enjoyed. You may avoid certain places or activities altogether due to the intense feelings of dread you associate with them. In turn, this can lead to social isolation and decreased quality of life overall. In extreme cases, untreated phobia might lead to depression and other mental health conditions if left unchecked for too long.

Alternatives to Therapy for Phobias

Exploring alternatives to therapy for phobias can be a great way to relieve extreme fear and overwhelming anxiety. These tactics can be even more effective when used as one part of a comprehensive treatment plan. 

Medications for treating phobias

For some people, medication can be an effective way to treat phobias. It can help reduce intense anxiety and fear. Common medications occasionally used in the treatment of phobias might include: 

  • Antidepressants
  • Anti-anxiety drugs
  • Beta-blockers
  • Sedatives

A doctor or psychiatrist can prescribe these medications after assessing your symptoms and medical history. It’s important to note that these common psychiatric medications are not a cure for phobia. Instead, they help manage the associated symptoms.

Natural remedies for treating phobias

Natural remedies such as herbs and supplements might help reduce anxiety levels associated with common phobias. While in most cases, more research is needed, some popular natural remedies some people have found effective include: 

Keep in mind, even though these might help reduce severe anxiety levels associated with phobia symptoms in some people, they should only be taken under the supervision of a qualified healthcare professional who can monitor effectiveness over time.

Get Personalized Phobia Treatment with Talkspace 

Our online therapy platform offers tailored treatment plans designed specifically for individual needs, including phobia therapy. With Talkspace, you can access professional mental health care from the comfort of your own home. We connect you with licensed therapists experienced in treating phobias and other anxiety-related issues.

With Talkspace, you can receive effective, personalized phobia treatment to overcome your fears and gain confidence to live a life free from intense fear. With the right treatment option, you can learn how to manage your symptoms and gain control over your life. Learn how to start therapy today.

Sources:

  1. Specific phobia. National Institute of Mental Health. https://www.nimh.nih.gov/health/statistics/specific-phobia. Accessed December 9, 2022. 

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Fear vs. Anxiety: How to Tell the Difference https://www.talkspace.com/blog/fear-vs-anxiety/ Wed, 16 Mar 2022 14:52:15 +0000 https://www.talkspace.com/blog/?p=25720 Fear and anxiety are similar emotions that often co-occur and are easily mistaken for one another. Fear is…

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Fear and anxiety are similar emotions that often co-occur and are easily mistaken for one another. Fear is a strong biological response to imminent danger. Anxiety is marked by apprehension and worry over things that may or may not occur. Both emotions can feel the same, but there are some important differences to note.

To fully understand the difference between fear and anxiety separately, you must review their similarities and their differences. You can start by exploring the physiological, psychological, and physical symptoms of both emotions. From there, you’ll know how to differentiate between the two as they occur. Finally, it’s also important to know when it might be time to seek professional help if you have a repetitive, extreme fear or a generalized anxiety disorder.

What is the Difference Between Fear and Anxiety?

There’s a distinct, key difference between fear and anxiety. Fear results from a clear and present danger, while anxiety results from the anticipation of an unspecified threat. Each of these emotions is marked by unique expressions of mental and bodily effects.

“Fear and anxiety can feel like the same thing as the symptoms are quite similar. While it’s difficult to tease it out at the moment, gaining insight if one is experiencing fear over anxiety is important. Anxiety often stems from an unclear threat, while fear is based around a real and clear threat. It’s not to say that fear and anxiety don’t work together, but that they tap into different triggers.”

Talkspace therapist Minkyung Chung, MS, LMHC

What is Fear?

Fear is an uncontrollable survival emotion that serves to protect us from real danger. Humans have evolved over time, with their sense of fear intact, to stay alive and safe from harm.

The limbic system is called your “emotional brain.” We experience fear when it’s a perceived threat, like when someone suddenly touches your back, or when you hear an animal running up toward you, or when you smell smoke coming from your child’s bedroom.

Fear can cause marked changes in smell, taste, hearing, touch, and vision — all the senses that provide information about the perceived threat you’re facing. Fear prepares you to either enter into battle or flee for your safety.

The sensation of fear is immediate and beyond your control. What you can control, however, is how you manage fear symptoms. That said, you can’t always stop them from occurring in the first place.

The purpose of fear is to fuel your flight-or-fight fear response to external stimuli. It causes multiple symptoms that are similar to those of anxiety. Let’s take a closer look at the symptoms that fear can cause.

Signs and Symptoms of Fear

As emotions go, fear causes some of the most noticeable changes in the brain and body. That’s because we’re forced to pay attention to our fear. Anxiety, on the other hand, is not imperative for survival. That’s why we sometimes don’t feel symptoms of anxiety quite as strongly or instantly as we might experience fear.

There are some common physiological, psychological, and physical symptoms of fear.

Physiological symptoms of fear:

  • Quick, shallow breathing
  • Shortness of breath
  • Hot flashes or chills
  • Rapid heartbeat
  • Upset stomach
  • Goosebumps
  • Tight chest
  • Dry mouth
  • Trembling
  • Sweating
  • Nausea

Psychological symptoms of fear:

  • Feeling detached from your body
  • Inability to focus and concentrate
  • Feeling a sense of stress
  • Lacking emotional control
  • A pending sense of doom

Physical symptoms of fear:

  • Flight response (running for safety)
  • Freezing up (inability to move)
  • Displaying violence
  • Clenching fists

What is Anxiety?

Anxiety is a sense of vague apprehension. It can be difficult to know how to diagnose anxiety disorders. It makes you feel unpleasant, negative thoughts and you often can’t understand why. What causes anxiety is imprecise threats that may or may not have any foundation. It’s a general sense of dis-ease, like how you might feel when walking down a dark, quiet city street in the middle of the night.

Signs and Symptoms of Anxiety

Anxiety is believed to have evolved in humans as a mechanism for protecting us against threats that may not even exist. Overwhelming anxiety gives us warnings that something dangerous might be about to happen.

For instance, you might get anxious because you believe that you could be attacked by a bear while walking in the woods. However, there may be no bears for miles around you. Anxiety isn’t completely useless though, because there actually could be a bear nearby. Ultimately, anxiety can serve to help keep you alert but causes harm when it goes too far.

Physiological symptoms of anxiety:

  • Trembling or shaking
  • Sweating
  • Tightness in the chest area
  • Upset stomach and nausea
  • Quick, shallow breathing
  • Chills or hot flashes
  • Rapid heart rate
  • Muscle pain
  • Headaches
  • Dizziness

Psychological symptoms of anxiety:

  • Inability to focus on conversations, tasks, or thoughts
  • Racing, negative thoughts
  • Sense of impending doom
  • Feeling overwhelmed
  • Constant worrying
  • Catastrophizing
  • Restlessness
  • Irritability
  • Fatigue

Physical symptoms of anxiety:

  • Inability to complete mundane tasks
  • Difficulty sitting still and staying calm
  • Drug and alcohol use
  • Being startled easily
  • Social withdrawal

How to Know if You Are Experiencing Fear vs Anxiety

Fear and anxiety both cause similar co-occurring physiological, psychological, and physical symptoms. Though the symptoms can overlap, it’s not uncommon if you experience an independent, unique experience, either.

Sometimes, it can be challenging to tell the difference between fear and anxiety, especially when you’re actively having symptoms. Still, if you’re experiencing fear or anxiety (or both), it’s not likely that you’ll even be questioning the differences at that time.

The differences in symptom expression between fear and anxiety are centered on several factors, including:

  • Your emotional & mental capacity
  • Your available resources to help you cope
  • What event triggered your response 

In short, the difference between fear and anxiety are: 

Fear starts very suddenly as a fight-or-flight response to a well-defined threat. 

Anxiety onsets in response to an unspecified, possibly non-existent threat.

“Working through and lowering levels of fear and anxiety are very similar. It’s about teasing out the stimuli that manifested those emotions. Understanding the stimuli reaction helps to define the next steps of working through those emotions.”

Talkspace therapist Minkyung Chung, MS, LMHC

When to Seek Help

Chronic anxiety and fear have both been linked to mental health conditions, including generalized anxiety disorder (GAD), social anxiety disorder (SAD), panic disorder, and specific phobias like agoraphobia or arachnophobia.

The National Alliance on Mental Health (NAMI) reports that an estimated 20% of adults in the United States experience symptoms of anxiety conditions each year. Women are more likely to be affected than men.  

If you’re experiencing repetitive, worsening symptoms like the ones we’ve discussed here, and they’re beginning to interfere with your functioning and daily life, it might be time to learn about how to treat anxiety or fear, as well as go in for a screening. You can reach out to a therapist or contact a doctor to start the process. Your doctor will review your medical history and try to discern a possible cause for your symptoms.

“The two are so similar it’s hard to figure out what a person is struggling with at that moment. A mental health professional can help with learning the differences and the coping skills necessary to be successful in managing both fear and anxiety.”

Talkspace therapist Minkyung Chung, MS, LMHC

If a diagnosis is made, you’ll likely be referred to different types of therapy for anxiety and fear such as online therapy. Then, you can begin treatment and learn new coping skills to better control the chronic fear or anxiety you’ve been experiencing. You don’t have to let fear or anxiety take over your life. Get the skills and coping tools you need to overcome your fear and anxiety, and you’ll begin on the path to a healthy, rewarding life. 

Sources:

1. Tovote P, Fadok J, Lüthi A. Neuronal circuits for fear and anxiety. Nature Reviews Neuroscience. 2015;16(6):317-331. doi:10.1038/nrn3945. https://www.nature.com/articles/nrn3945. Accessed February 5, 2022.

2. Jacobs Hendel, LCSW H. Anxiety And Fear: What’s The Difference? | NAMI: National Alliance on Mental Illness. Nami.org. https://www.nami.org/Blogs/NAMI-Blog/May-2021/Anxiety-And-Fear-What-s-The-Difference. Published 2021. Accessed February 5, 2022.

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Autophobia (Monophobia): The Fear of Being Alone https://www.talkspace.com/blog/autophobia/ Mon, 31 Jan 2022 22:28:42 +0000 https://www.talkspace.com/blog/?p=25036 Many different types of phobia can develop due to trauma, such as nosophobia (fear of having a disease)…

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Many different types of phobia can develop due to trauma, such as nosophobia (fear of having a disease) and atychiphobia (fear of being failure). But in this article, we’ll be focusing on autophobia, also known as monophobia, is the intense fear of being alone, and it can cause severe anxiety and apprehension. 

For someone living with autophobia, being by themselves even in a safe, comfortable space like their own home, can be stressful and even frightening. This irrational fear is much more serious than normal feelings of loneliness. In fact, it often doesn’t even need to come to fruition…for many people living with a phobia of being alone, even just the thought of being alone can be enough to cause tremendous anxiety and stress. 

To best answer the question: what is autophobia, let’s look at symptoms, how it’s diagnosed, and factors that increase risk. Treatment options, including certain lifestyle modifications, will also be explored as we cover this type of phobia that often results in a debilitating condition.  

“There is a difference between being alone and feeling lonely. When you have a fear of being alone, it may bring up a lot of feelings of anxiety. If this brings up feelings of panic or is having a negative impact on a few areas of your life, it would be important to speak with a therapist to process what is coming up for you, so you can get the support you deserve.”

Talkspace therapist Dr. Karmen Smith LCSW DD

Symptoms of Autophobia

An estimated 12.5% of adults in the United States deal with some type of specific phobia in their life. Autophobia is just that, a type of phobia, not an official diagnosis. 

People with autophobia believe they need others near them to be safe. Having a true phobia (as opposed to just having a few symptoms periodically) is serious. It can cause you to function poorly in life and have difficulties maintaining healthy relationships. It’s more than just being concerned about something. 

People with autophobia can experience unique psychological and physical symptoms, which may include:

  • Chest tightness, rapid heartbeat, and difficulty breathing when alone
  • Feeling like they’re alone or ignored, even in a large, friendly crowd
  • Taking reasonable measures to ensure they’re not ever left alone
  • Feeling intense anxiety that’s excessive for the situation
  • Feeling anxious when thinking about spending time alone
  • Nausea, dizziness, and/or fainting when alone
  • Believing catastrophe will strike if left alone
  • Have panic attacks when thinking about or being alone

Autophobia causes irrational fear even when you know you’re in a safe environment. You may feel that you’re in danger from any number of things. You might have a fear of robbers, muggers, strangers, or even friends. 

Some people with autophobia feel that they’re doomed to develop a sudden, serious medical condition. Others constantly feel unwanted and unloved. Still, others hear unexplained noises at random times.

Those living with autophobia may not function properly until their extreme fear subsides. Though they’re completely safe with no threats present, they cannot control their psychological and physical symptoms.

Causes of Autophobia

Researchers aren’t sure what causes a phobia of being alone. So, what is autophobia? Like other phobias, monophobia is marked by an irrational fear that might result from childhood trauma or adversity. It can also be a learned behavior from someone with the condition like a parent or close friend.

Children can develop autophobia after experiencing:

  • General neglect
  • Parental divorce
  • Parental mental condition
  • Parental drug addiction
  • Physical or sexual abuse
  • Long-term familial poverty
  • Death of a parent, sibling, or other loved one
  • Long-term separation from one or both parents

Unfortunately, even though we don’t know what causes autophobia yet, little research has been completed on it.

How is Autophobia Diagnosed?

Doctors and therapists look for various discrete fears in people who may have autophobia. These fears may or may not be related to the fear of being alone, but they’re indicative of possible causation. They may include:

  • Fear of being at home alone
  • Fear of being in public alone
  • Sensing danger when none is present
  • Fear of separation from a particular person
  • Persistent feelings of isolation and of being ignored by others

Other factors will be considered, too, like if someone lives alone, suffers from chronic loneliness, or has endured long-term solitude. All of these could contribute to the development of autophobia.

To confirm autophobia, a doctor will conduct a physical and explore the patient’s medical history. This helps to ensure that another condition is not causing the fear. Like other phobias, autophobic symptoms must be present for at least 6 months. Additionally, the fear of being alone must be so intense and regular that it interrupts normal life and daily functioning. Loneliness, even excessive amounts of it, is not sufficient to warrant a label of autophobia.

Treatment for Autophobia

Clinical treatment options for autophobia are the same as the treatment options for other phobias. All phobias are based on the expression of irrational fears, and treatment aims to alleviate these fears. Treatment is centered on helping you recognize and understand your condition better so that you can take steps to reduce the frequency and intensity of your episodes.

Autophobia treatment typically involves a combination of:

Psychotherapy

Techniques like exposure therapy & cognitive behavioral therapy (CBT) are often used. Exposure therapy gradually and progressively exposes you to whatever you fear in a safe, controlled manner and environment. CBT combines various practical methods to help you better cope with the extreme anxiety that results from your fear.

Prescription medications

Beta-blockers and benzodiazepines can also be used. Beta-blockers inhibit the actions of adrenaline (epinephrine) to keep your heart rate slow and blood pressure down and to dilate the blood vessels to accommodate blood flow. Benzodiazepines slow down messaging between the brain and body and induce a mild tranquilizing effect.

Lifestyle modifications

Many people experiencing autophobia find it beneficial to learn and routinely practice certain lifestyle habits that help to calm the mind, enhance focus, reduce anxiety, and restore normal function sooner when an autophobic episode attacks them.

If you believe you have autophobia, consider the advantages of yoga, mindfulness meditation, pranayama (deep breathing exercises), various possible forms of semi-strenuous exercise, an intentionally positive attitude, and proper nutrition. All of these might help reduce or relieve the symptoms of autophobia over time.

“The lockdown during the pandemic could have contributed to facing the fear of being alone and resulted in coping with this fear in unhealthy ways, such as alcohol, overeating, or even suicidal thoughts. Know that you’re not alone, and that help is always out there, so feel free to contact a therapist to talk through treatment options that are right for you.”

Talkspace therapist Dr. Karmen Smith LCSW DD

Consider What Works for You

Different people respond to being alone differently. Many people openly state that they don’t enjoy or like to be alone. However, they don’t take the fear of being alone to the level that someone with autophobia does.

People with genuine autophobia become severely anxious about being alone. They’re willing to go to great lengths to ensure that they’re not left by themselves — this is often taken to the point of irrationality. Left unaddressed, the condition can disrupt normal life functioning and, ultimately, happiness.

If you believe that you are experiencing autophobia, know that help is available. Many people find they’re able to reduce or completely resolve their symptoms through proper treatment and self-dedication to the healing process. Treatment will help you understand the thoughts and feelings that cause your autophobic reactions. If your symptoms don’t disappear completely with regular treatment, you can take comfort in knowing they’ll likely be significantly reduced.

If you or someone you care about is suffering from autophobia to the point where it’s disrupting life, there is help out there. The next step is deciding it’s time to find it so you can start overcoming your phobia.

Sources:

1. Specific phobia. National Institute of Mental Health. https://www.nimh.nih.gov/health/statistics/specific-phobia. Accessed December 23, 2021.

2. Eaton W, Bienvenu O, Miloyan B. Specific phobias. The Lancet Psychiatry. 2018;5(8):678-686. doi:10.1016/s2215-0366(18)30169-x. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233312/. Accessed December 23, 2021.

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Atychiphobia: The Fear of Failure https://www.talkspace.com/blog/atychiphobia/ Mon, 31 Jan 2022 22:12:23 +0000 https://www.talkspace.com/blog/?p=25030 To some extent, we all have a fear of failure at some point in our life. Nobody wants…

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To some extent, we all have a fear of failure at some point in our life. Nobody wants to not succeed. It’s actually even normal (and common) to experience fear or apprehension about failing. 

That said, if you find you’re so afraid of failing at something that you can’t even try it, or if your fear is so paralyzing that it’s interfering in your daily life, you might be experiencing atychiphobia, or fear of failure phobia. Phobias are irrational, intense, and very persistent fears about something — they could be fear of a person, an activity, or a situation. It can even be an internal fear about being alone like autophobia, or having a disease like nosophobia. 

We’ll explore what the atychiphobia definition really means, symptoms and signs of this phobia, and risk factors to be aware of. We’ll also discuss how a diagnosis is made and what treatment options are available. Read on to learn more about atychiphobia.  

Symptoms of Atychiphobia

What is atychiphobia? Atychiphobia can be defined as an abnormal, unwarranted, and persistent fear of failing at something in your life. Any mistake you make can lead to ultimate failure. This chronic fear can be so extreme that it negatively affects your life. Atychiphobia affects an estimated 2 – 5% of the population. Symptoms of an irrational fear of failure can range from mild to extreme and can include:

  • Rapid heart rate
  • Difficulty or rapid breathing
  • Tightness in the chest
  • Pain in the chest
  • Lightheadedness or dizziness
  • Trembling sensations or shaking
  • Digestive distress
  • Sweating
  • Hot and or cold flashes

While the above are all physical symptoms, there are also emotional symptoms that may present, including:

  • Having an overwhelming feeling that you need to escape a situation you’re fearful of
  • Having extreme feelings of anxiety or panic
  • Feeling like you’re detached from yourself
  • Thinking and believing you might die or pass out
  • Having an intense feeling you’ve completely lost control
  • Feeling powerless over your fear

“The fear of failure can range in symptoms from mild to more severe that can impede one’s daily life. Anxiety and depression often go along with this overwhelming fear, and it is important to know there is help available; you do not have to struggle alone.”

Talkspace therapist Jill Daino, LCSW-R, BC-TMH

Self-limiting is common for people with atychiphobia. This means you may be prone to sabotaging your own efforts to succeed. An example of this would be never beginning an important project, ensuring it fails, just so you don’t actually fail after completing it.

Signs That You Have a Fear of Failure

There are several signs that you might have a fear of failure. Some of the more common ones can include:

  • Being a perfectionist: It’s not uncommon for perfectionists to also have a fear of failure phobia. People who are perfectionists often have an intense need for things to be in order or perfect, which sometimes results in atychiphobia.
  • Exhibiting learned helplessness: Learned helplessness can be common with atychiphobia. In this case, you may become so fearful about unpredictability in your life that you avoid things you’re afraid you’ll fail at. An intense belief that you’re not good enough may even cause you to withdraw from life completely.
  • Having obsessive thoughts: A fear of failure can cause you to obsess about decisions you need to make or other things in your life. These obsessive thoughts can become overwhelming and disruptive, ultimately interfering with daily life.

Risk Factors of Atychiphobia

It can be difficult to put a finger on exactly why you’re experiencing an unnatural fear of failure. There are numerous risk factors for developing different phobias. You may be at higher risk for atychiphobia if you:

  • Have perfectionistic tendencies
  • Failed at important personal goals in the past
  • Have a genetic predisposition to atychiphobia
  • Have an eating disorder, mood disorder, or anxiety disorder

Through a process known as observational learning, you may also have a higher risk for atychiphobia if you were shaped in early life by someone who also had a fear of failure.

Diagnosis of Atychiphobia

If you have a repetitive fear of failure that’s beginning to impact your daily life negatively, it could be atychiphobia. A doctor or therapist can help diagnose your symptoms and suggest possible treatment options.

When you seek help, you’ll be asked questions about the symptoms you’re experiencing, your family medical history, your personal, social, and psychiatric history, and any prescription or natural medications that you use routinely.

Some of the known criteria considered for a formal diagnosis of atychiphobia include whether you might:

  • Avoid situations, people, and objects that might cause this specific phobia
  • Experience excessive anxiety in routine fear-causing situations
  • Have an immediate panic attack or strong fear response to moderate stimuli

Your family doctor may refer you to a psychiatrist, licensed therapist, or another mental health professional to make a formal diagnosis.

Treatment of Atychiphobia

The goal of treatment for any phobia is to improve the quality of life. Although medication is sometimes prescribed, treatment for atychiphobia tends to be most successful when therapy is used as well. Some commonly recommended and successful treatment options for overcoming phobias might include one of or a combination of the following. 

Psychotherapy

Possible treatment options for atychiphobia include psychotherapy (talk therapy) techniques like online exposure therapy and online cognitive-behavioral therapy (CBT).

Exposure therapy uses repeated, increasing in intensity exposures to redefine responses to fearful scenarios. 

Cognitive behavioral therapy utilizes exposure plus other methods to retrain your brain about how it perceives fear.

“Getting treatment for your concerns around atychiphobia earlier can make all the difference. Working with a therapist, you can not only get support, but you can learn how to navigate the fear of failure and learn new strategies to manage the challenging thoughts and feelings.”

Talkspace therapist Jill Daino, LCSW-R, BC-TMH

Medications

Prescription medications can also be used in conjunction with therapy, especially during the initial phases to reduce short-term stress and anxiety that might be contributing to your extreme fear of failure. Some people with atychiphobia use beta-blockers to stop adrenaline from speeding up their heart and elevating their blood pressure before stressful events.

Others benefit from mild sedatives to help them remain calm in anxious situations. Benzodiazepines and selective serotonin reuptake inhibitors (SSRIs) may also be prescribed to treat the symptoms of atychiphobia.

Lifestyle modifications

Some people can cope with mild cases of atychiphobia without professional help or prescription medications. Certain lifestyle changes might prove beneficial.

For instance, learning and routinely practicing mindfulness meditation exercises can help you slow down, live in the moment, and avoid distractive thoughts of failure or inadequate performance.

Other relaxing endeavors might be helpful, too. Yoga, deep breathing sessions, journaling, and massage can help you destress and cope with anxiety about an upcoming challenge you’re facing. A calm, focused mind is better able to handle the fear of failure than a nervous, unfocused one will be.

Some research shows that different mindfulness interventions can be effective for those living with atychiphobia. Learning mindfulness techniques might significantly help you cope with avoidance or anxiety issues that stem from atychiphobia.

We all deserve to be content and have confidence in our abilities. If you think that your fear of failure is out of control and you’re not responding well to the lifestyle modifications listed above, then it might be time to seek professional help. Atychiphobia treatment is more effective the earlier you start in your journey. 

Sources:

1. Specific Phobias (Symptoms) | Center for the Treatment and Study of Anxiety | Perelman School of Medicine at the University of Pennsylvania. Med.upenn.edu. https://www.med.upenn.edu/ctsa/phobias_symptoms.html. Accessed December 21, 2021.

2. Dinç S, Ekşi H. A Psychological Counseling Study on Fear of Failure and Academic Procrastination with a Spiritually Oriented Cognitive Behavioral Group. Spiritual Psychology and Counseling. 2019;4(3):219-235. doi:10.37898/spc.2019.4.3.85. https://www.researchgate.net/publication/341588119_A_Psychological_Counseling_Study_on_Fear_of_Failure_and_Academic_Procrastination_with_a_Spiritually_Oriented_Cognitive_Behavioral_GroupAccessed December 21, 2021.3.

3. Hjeltnes A, Binder P, Moltu C, Dundas I. Facing the fear of failure: An explorative qualitative study of client experiences in a mindfulness-based stress reduction program for university students with academic evaluation anxiety. Int J Qual Stud Health Well-being. 2015;10(1):27990. doi:10.3402/qhw.v10.27990. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4545197/. Accessed December 21, 2021.

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Fear of Intimacy: Signs, Causes, and How to Overcome It https://www.talkspace.com/blog/fear-of-intimacy/ Tue, 04 Jan 2022 17:45:55 +0000 https://www.talkspace.com/blog/?p=24667 Updated on 3/20/2024 Fear of intimacy in a relationship isn’t necessarily the result of not wanting to be…

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Updated on 3/20/2024

Fear of intimacy in a relationship isn’t necessarily the result of not wanting to be close to others in your life. Rather, it’s more often an issue that stems from an inability to feel vulnerable. People who have a fear of intimacy may have experienced neglect, trauma, or abuse in their past that prevents them from fully opening up to and trusting others, especially in an intimate relationship.

Learn more about types of intimacy issues, signs of fear of intimacy, what might cause this intimacy fear, and, most importantly, how you can deal with it. We’re exploring everything you need to know about what it means to have a fear of intimacy and whether relationship counseling online might be the right option for you.

What Are Intimacy Issues or a Fear of Intimacy?

Also known as avoidance anxiety or intimacy avoidance, a fear of intimacy is essentially a form of relationship anxiety about having an extremely close physical or emotional connection. People with intimacy issues tend to struggle with emotional closeness and connecting on a deeper level. This struggle can fundamentally prevent them from establishing and maintaining meaningful interpersonal relationships.

Types of intimacy issues

There are a few basic types of intimate relationships, and someone with a fear of intimacy may have difficulties in any one of them. 

  • Experiential: Our experiential relationships are those where we have common interests in shared activities or experiences that serve to further the bond in a close relationship.
  • Spiritual: Relationships that are spiritual can allow us to relate to someone based on like-minded beliefs about a higher power or beliefs beyond our own being.  
  • Emotional: In emotional relationships, we share deep and inner emotions that can lead to a very connected bond or even spiritual connection. 
  • Intellectual: If you have a relationship that’s based on deep conversations or an intelligent sharing of ideas, your connection might be largely intellectual in nature. 
  • Sexual: A very sensual, stimulating, or close relationship can be considered sexual. 

Any one (or more than one) of these relationships may suffer from intimacy issues. As a result, you may have co-existing fears or conditions like fear of rejection, fear of engulfment, fear of abandonment, avoidant personality disorder, or anxiety disorders.

Common Signs of Fear of Intimacy

There are a number of common fear of intimacy signs and issues to be aware of. Many people mistakenly assume that intimacy issues can only be found in a romantic relationship. In reality, you can experience a fear of intimacy in any type of relationship with a loved one, whether it be platonic, romantic, or even familial. 

Often the fear of being close to others on any level leads to self-sabotaging the relationship before things can get too intense. There are other signs beyond sabotaging, too. They can include: 

Perfectionism

People with a fear of intimacy may feel an extreme need to be perfect. They might believe they’re not worthy of a deep, true love or connection with another person, so they yearn to be perfect to “earn” that love. 

Serial dating

Serial dating is another very common sign of intimacy issues. As things become more serious and intense in a relationship, the urge to end things and start something new can be a driving force in the eventual demise of a relationship. The serial dating pattern may be interpreted as a “commitment issues” or “intimacy phobia” by others trying to understand why relationships never last beyond a certain point. 

Difficulty stating one’s needs

Fear of intimacy can result in someone not being able to aptly express what they need and want from a romantic partner or relationship. That lack of communication can create a pattern that makes it impossible to have basic needs fulfilled. This can lead to an unhealthy belief that they don’t deserve to be in a fulfilling relationship. 

Having a hard time with physical contact

Physical contact can be problematic on two levels for someone with intimacy issues. Either they may totally avoid physical intimacy or they may constantly crave it. Both patterns can be detrimental to a healthy relationship, as the other partner is left trying to navigate unhealthy demands or expectations about how much and what types of contact are desired and allowed. 

Low self-esteem

Low self-esteem can affect many aspects of a romantic relationship. For the person who has a fear of intimacy, it can directly relate to feelings of inadequacy that reinforce the idea someone isn’t deserving of a loving relationship. 

Trust issues

A fear of intimacy can sometimes be linked to trust issues in a relationship and fear of rejection. If someone’s trying to avoid connecting on a deeper level, it’s not uncommon for a fear of trust to also be present.

What Causes Fear of Intimacy?

For a lot of people, fear of intimacy can be the result of fears of engulfment or fear of feeling abandonment. A large part of it can come from a general fear of loss. While these fears are significantly different from each other, they tend to have the same outcome — behaving in a way that ultimately pushes others away. Anxiety disorders can also lead to a fear of intimacy.

  • Fear of engulfment: Can result in a near-debilitating fear of being dominated or controlled. People who have a fear of engulfment can be so terrified they’ll lose themself in their relationships, they push anyone who gets too close away. Sometimes this can be the result of growing up in an enmeshed family.
  • Fear of abandonment: Manifests as a deep-seated fear of being left. Fear of abandonment can be the result of a past experience in which someone was abandoned by caregivers (adult figures or parents) in their youth.  Abandonment can be either physical or emotional.
  • Anxiety disorders: Social anxiety disorders or a social phobia can lead to a fear of intimacy in an adult relationship. Sometimes, when someone is deeply afraid of feeling judged or rejected, they deal with it by avoiding intimate connections with others. Other phobias — like a fear of being touched — can also be a part of intimacy issues.
  • Past sexual abuse: Sexual abuse that occurs during childhood can directly result in a fear of intimacy in an adult relationship. Difficulty trusting others is often at the root of why emotional intimacy can become problematic in the adult life of somebody who’s been sexually abused.

Many times, intimacy issues, meaning fears of being too close to someone, stem from a childhood experience that is triggered by adult relationships. This is one reason why addressing only current relationships might not be beneficial in helping when fear of intimacy signs are present.

“The fear of intimacy can be caused by different reasons including abuse or neglect, medical problems, fear of abandonment, or religious beliefs. Sometimes, it can even be a combination of issues and securing the help of a professional is necessary.”

Talkspace Therapist Cynthia Catchings, LCSW-S

The Impact of Having a Fear of Intimacy

Fear of intimacy can directly impact virtually every relationship you have in your adult life. Although it’s often most obvious in romantic partnerships, intimacy issues can cause problems in friendships, co-working relationships, and nearly every other relationship in your life.

Not being able to show affection or make a deep, emotional connection can lead to others assuming we can’t (or won’t) love them or want them in a meaningful way. Putting up hard boundaries or barriers to physical, mental, emotional, or sexual intimacy can end relationships.

Additional impacts fear of intimacy can have on your life include:

  • High risk for substance-abuse
  • Sabotaging relationships
  • Greater risk for depression and anxiety
  • Social isolation
  • Unstable relationships
  • Having more short-term than long-term relationships
  • Serial dating

“The impact can range from mild to severe. Sometimes, it can be just the frequent thoughts and anxiety felt by the person experiencing it, and other times it can be so severe that more abuse and even abandonment is experienced, making the person re-experience the  cycle of abuse that caused the fear from the beginning.”  

Talkspace Therapist Cynthia Catchings, LCSW-S

How to Deal with Fear of Intimacy 

The good news is you don’t have to let fear of intimacy harm all your relationships. You can learn how to overcome your fears either through therapy, or on your own, depending on how significant and severe your intimacy issues are.

Sometimes it’s possible to manage your intimacy fear on your own. You can try to recognize the root of your fear and try to deal with getting past it. Other times, you may need online therapy to fully recover from your fear of intimacy. 

Self-reflection and personal development

Self-reflection plays a critical role in personal development, especially when dealing with fears around intimacy. Engaging in self-reflection helps in understanding the underlying causes of your fear. This could involve journaling, mindfulness practices, or individual therapy sessions focusing on personal growth and self-awareness. Personal development, in this context, is about learning to understand and accept oneself, which is key to overcoming fears and forming deeper connections with others.

Exploring past traumas

Exploring past traumas is a delicate yet crucial aspect of addressing fear of intimacy. This process often involves revisiting and processing painful memories and experiences from the past, which might be influencing your current relationships and behaviors. It’s important to undertake this journey with the guidance of a qualified mental health professional, such as a therapist or counselor, who specializes in trauma and can provide a safe and supportive environment for healing.

Gradual exposure and building trust

Gradual exposure is a therapeutic technique that can be highly effective in overcoming a fear of intimacy. It involves slowly and progressively facing the fears associated with intimacy. This could start with sharing personal thoughts and feelings with a trusted friend or family member, then gradually moving towards more challenging emotional disclosures in a romantic context. Building trust is a cornerstone of this process, as it allows for the safe expression of vulnerabilities without fear of judgment or rejection.

Therapy

If your fears are the result of significant trauma, or if you find that depression is a part of your fear, therapy most likely will be the most effective way for you to begin developing healthy, long-term, meaningful, and intimate relationships. 

“Having an honest conversation with ourselves can be a recommended way to deal with this type of fear. However, once we acknowledge and accept that there is an issue, we need to look for help.”

Talkspace Therapist Cynthia Catchings, LCSW-S

It’s through therapy that you can learn to:

  • Value your self-worth
  • Come to terms with where your fear of intimacy comes from
  • Communicate in an effective manner

What to Do if Your Partner Has a Fear of Intimacy

If your romantic partner is the one who exemplifies intimacy avoidance, all hope is not lost. You can help them identify and overcome their fears, and in turn, work towards your relationship goals by focusing on communication. In fact, you could even consider exploring our recommended couples communication exercises to help facilitate this process between you and your partner.

It’s important not to push your partner too hard, but you should definitely let them know that you’re there for them and willing and able to listen whenever they need you. Keep in mind that their intimacy issues might be so painful they can’t open up right away so avoid any negative thoughts or attitudes. Encourage your loved one to seek therapy, and be patient. Ask your partner how you can help them feel safe. Above all, remember that their fear of intimacy isn’t personal.

Sources:

1. Feiring C, Simon V, Cleland C. Childhood sexual abuse, stigmatization, internalizing symptoms, and the development of sexual difficulties and dating aggression. J Consult Clin Psychol. 2009;77(1):127-137. doi:10.1037/a0013475. https://doi.apa.org/doiLanding?doi=10.1037%2Fa0013475. Accessed December 2, 2021.

2. Schoenfelder EN, Sandler IN, Wolchik S, MacKinnon D. Quality of social relationships and the development of depression in parentally-bereaved youth. J Youth Adolesc. 2011;40(1):85-96. doi:10.1007/s10964-009-9503-z. https://doi.org/10.1007/s10964-009-9503-z. Accessed December 2, 2021.

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Agoraphobia: What Is It and How Is It Treated? https://www.talkspace.com/blog/agoraphobia-definition-what-is/ Fri, 05 Feb 2021 15:00:00 +0000 https://www.talkspace.com/blog/?p=20671 Any tourist or local of New York City who has visited the iconic Times Square can tell you…

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Any tourist or local of New York City who has visited the iconic Times Square can tell you about the overwhelming lights, crowds, and noise of the space. Billboards with blazing lights at every turn, people bumping into you (pre-Covid), and noise from the bustle of cars and street performers. A subway station with a never-ending maze of tunnels stands below, full of tourists and commuters traveling every which way. To the average person, Times Square feels inundating and overwhelming. There certainly isn’t an easy exit plan out of Times Square and, I would venture, most wouldn’t care to go there every day. 

But imagine if everywhere felt like Times Square. Nowhere would feel safe and you’d likely prefer to stay home. This is how those with agoraphobia feel all the time, fearful of entering many types of spaces, especially if there’s no easy exit. For someone with agoraphobia, being in open spaces, crowds, or outside alone is terrifying and anxiety-provoking. 

What Is Agoraphobia?

Agoraphobia is a type of anxiety disorder defined by an intense fear of places that can lead to feeling trapped, helpless, scared, or embarrassed. Types of places that bring on this fear, such as crowds or public transport, are avoided to minimize anxiety. Panic attacks are commonly experienced with agoraphobia. Someone with agoraphobia may also have panic disorder, but it depends on the person.

Agoraphobia definition and diagnosis

The term agoraphobia comes from the root “agora,” an assembly of people, and “phobia” or fear. Put together, agoraphobia means the fear of spaces with an assembly of people, which usually includes places with lines of people, crowds, and with no easy exit. This manifests as an anxiety disorder, a type of mental illness diagnosed based on certain specified criteria.

Psychologists define agoraphobia in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM 5) as an anxiety disorder with the fear of two or more of the following situations: 

  • Using public transportation
  • Open spaces, such as markets or parking lots
  • Enclosed spaces, such as stores and theaters 
  • Standing in line or being in a crowd
  • Being outside of the home alone

Being in these situations causes significant distress to the people with agoraphobia, so much that it can inhibit normal daily life. The deeper fear is that of feeling trapped, helpless, panicked, scared, or embarrassed, which then manifests in the fear of the above situations. People with agoraphobia worry about being able to leave a situation and fear embarrassment as well. The fears associated with agoraphobia often make it difficult for someone struggling to leave their home as they prioritize avoiding anxiety-inducing places.

Agoraphobia usually emerges in young adulthood, with 17-years-old as the average age of onset. Approximately 1.3 percent of US adults will experience agoraphobia in their lifetime. There are similar rates of agoraphobia in women and men, and yearly prevalence for women sits at .9 percent and .8 percent for men.

Agoraphobia Symptoms

Like all anxiety disorders, the symptoms associated with agoraphobia are intense and often debilitating. Feeling anxious or having a panic attack are key symptoms of agoraphobia, which may present in varying ways depending on the person. This could include dizziness, chest pain, hot flashes, among other symptoms. Here are some of the most prevalent symptoms of agoraphobia, according to Mayo Clinic:

  • Intense fear in situations involving public transport, crowds, open spaces, enclosed spaces, or leaving home.
  • Anxiety or panic attacks, symptoms of which can include:
    • Rapid heartbeat
    • Chest pain
    • Shortness of breath
    • Increased sweating
    • Upset stomach, nausea, or diarrhea
    • Hot flash or chills
    • Dizziness
    • Shakiness or trembling
    • Choking sensation
    • Numbness 
  • Sense of danger that is disproportionate to the situation
  • Avoidance of situations that may trigger fear and distress
  • Feeling a loss of control
  • Feeling out of touch with reality 

Someone dealing with these symptoms for six months or more may be diagnosed with agoraphobia by a doctor or psychologist if it’s causing them significant distress and inhibiting daily functioning. This can often look like avoiding any and all triggering places, which limits the ability to live normally. Panic disorder is another diagnosis that will be considered if panic attacks are prevalent as well. Always consult a medical or licensed mental health professional for an official diagnosis.

Causes of Agoraphobia

Agoraphobia has multiple causes that contribute to its onset . These factors include family history, genetic predisposition, comorbidity, and environmental stress. 

Family history is one of the most significant risk factors for agoraphobia. If a blood relative has agoraphobia, you are much more likely to have it as well. Research has shown you are as much as 61% more likely to have agoraphobia if someone in your family does too. Just because someone in your family struggles with agoraphobia, however, doesn’t mean you absolutely will also, it simply increases the likelihood.

Along with family history, genetic predisposition to anxious tendencies can cause agoraphobia. If you struggle with another anxiety disorder or panic disorder you are at a higher risk for agoraphobia. Comorbidity is common with agoraphobia as it often presents with other mental illnesses. This could be another anxiety disorder or a different type of mental illness, such as depression, personality disorders, or substance abuse. 

Environmental stress is also a significant factor in causing agoraphobia. History of abuse or traumatic life events, such as the death of a loved one or being attacked, can lead to fearing places that are overwhelming and lack an easy exit. This trauma, especially when combined with a predisposition towards anxiety, can lead to the onset of agoraphobia in people of all ages, but especially those in adolescence and young adulthood.

Clearly many factors contribute to agoraphobia, so if you’re experiencing symptoms of agoraphobia and relate to some or all these experiences, please seek out the help and advice of a mental health professional.

How to Treat Agoraphobia

The most effective treatment for agoraphobia includes attending talk therapy, medication, or both. Most professionals say therapy and medication work best in tandem for anxiety disorders, but everyone is different in terms of what works for them. 

Cognitive-behavioral therapy

Cognitive-behavioral therapy is the most effective type of psychotherapy used in treating agoraphobia. This method of therapy focuses on working through negative thought patterns and behaviors and finding healthier alternatives to replace them. Cognitive-behavioral therapy can help challenge intrusive fearful thoughts and avoidant behaviors. Online therapy is a great option for those with agoraphobia, especially during the pandemic — you can safely engage in therapy from the comfort of home.

Exposure therapy

Exposure therapy is also a common therapy practice used in treating agoraphobia, gradually exposing the client to their fear in a safe way so they learn to manage their anxiety. Exposure therapy uses systematic desensitization to decrease the fear associated with triggering situations over time, an important part of the treatment process.

Medication

For agoraphobia, doctors typically prescribe anti-anxiety medications or antidepressants, such as selective serotonin reuptake inhibitors. Medication can help you reach a more stable baseline for your mental health, which can make doing the work of therapy to overcome your fears in daily life easier. Different types of medication work better for everyone, so please consult a doctor or psychiatrist if you think you could benefit from medication.

The sooner someone struggling with agoraphobia can get help, the better. Agoraphobia can intensify when left untreated. Early intervention leads to better long-term outcomes. Whether therapy, medication, or a combination of the two, effective treatment options are available if you are dealing with agoraphobia.

Tips for Managing Agoraphobia

Lifestyles changes can also help with managing agoraphobia. Incorporating coping skills and ways to manage symptoms is an important part of decreasing the pervasive anxiety and fear associated with agoraphobia. Making incremental changes towards healthy habits helps ease the burden of daily life when living with agoraphobia. 

Some tips for managing agoraphobia include:

  • Prioritize self-care
    When in a heightened state of anxiety it can be hard to meet your basic needs. Prioritizing balanced eating throughout the day, getting enough sleep, and incorporating movement can improve mental health day to day.
  • Relaxation
    Practice relaxation techniques such as meditation, yoga, muscle relaxation, and deep breathing exercises.
  • Don’t avoid triggers
    Do your best to minimize the avoidance of triggering situations. The more you challenge yourself to stay in these situations the less frightening they become.
  • Avoid substances
    Limit substance use, including alcohol, caffeine, and recreational drugs. These substances can increase the intensity of anxiety.
  • Stay connected
    Embrace the support of loved ones who want to be there for you. Express to them how they can help you and be there for you. Know you have them to fall back on during scary moments.
  • Stick with treatment
    Stay consistent in following your treatment plan. Going to therapy regularly and taking medication as prescribed makes treatment more effective. Be open with your providers about how you’re doing so they can support you in your recovery.

Ultimately, seeing a licensed mental health professional is the best way to treat agoraphobia. Help is available and you can recover from this anxiety disorder. It can be intimidating to start the treatment process, but know that many people struggle to take the first step. Talkspace online therapy is a convenient and inexpensive place to start, offering affordable online therapy with just a few clicks. You can engage with expert therapists from the comfort of your home, both during the pandemic and beyond. Therapy is life-changing so don’t wait, get started today.

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Everything You Need to Know About Claustrophobia https://www.talkspace.com/blog/claustrophobic-definition-meaning/ Sat, 16 Jan 2021 15:34:00 +0000 https://www.talkspace.com/blog/?p=20322 Updated on 1/19/2022 In daily life, it is common to sit bumper to bumper in traffic, pass through…

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Updated on 1/19/2022

In daily life, it is common to sit bumper to bumper in traffic, pass through the occasional revolving door, or try on clothes in a dressing room. But what if these experiences cause crippling anxiety for you? These situations involve a confined space that makes those with claustrophobia — the fear of enclosed spaces — feel entirely trapped, triggering overwhelming anxiety. 

Claustrophobia is a common phobia that many struggle with. This anxiety disorder varies in severity and triggers but impacts all those who have this specific phobia. Thankfully, claustrophobia is a treatable condition and there are many treatment options to help you work through these challenges.

What Is Claustrophobia?

Claustrophobia is the intense fear of small, crowded, or confined spaces. For those with claustrophobia, being in an enclosed space causes intense feelings of anxiety and panic. These reactions are often provoked when one feels trapped with no way out. 

This phobia is a situational type of anxiety disorder, according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition. A phobia is diagnosable according to the DSM-5 when fear of a situation causes immediate anxiety and significant distress that is irrational and out of proportion for the danger posed. Individuals with a phobia will avoid triggering situations to an extent that impairs normal functioning. Phobias such as claustrophobia are also persistent, lasting 6 months or more. If an individual experiences these reactions to being in confined spaces, they could be diagnosed with claustrophobia if it’s unrelated to another mental illness.

Many types of small or crowded spaces trigger deep fear in someone with claustrophobia. Talkspace therapist and anxiety management expert Bisma Anwar, LMHC, says “some examples of [triggering] situations can be riding in a crowded elevator, getting locked in a windowless room, or driving on a highway. So, if someone experiences a situation like this, they can become highly anxious.”

Claustrophobia is one of the most common fears, with close to 5% of the American population struggling with the disorder in varying degrees of severity. This phobia is more common among women than men, but it can be experienced by anyone, no matter their age, sex, or background. The typical onset age for this phobia is childhood to teenage years. 

Claustrophobic Triggers

Many situations may trigger the onset of anxiety or a panic attack in someone claustrophobic. Specific triggers vary from person to person, but generally, any type of enclosed or tight space can cause an anxiety attack. Many people will go out of their way to avoid such triggers to limit their anxiety. 

Spaces that may trigger claustrophobia:

  • Crowded elevators
  • Small cars, especially driving on a congested highway
  • Subways and trains
  • Airplanes, especially in turbulence 
  • Crowded areas 
  • Tunnels
  • Basements and cellars
  • Small, windowless, or locked rooms
  • Revolving doors
  • MRI or CT scans
  • Car washes
  • Dressing rooms
  • Public restrooms
  • Closets

These spaces are encountered often in everyday life, which is why claustrophobia can be such a challenge to cope with. If you think you have claustrophobia, know that help is available and the condition is treatable.

What are Symptoms of Claustrophobia?

Encountering enclosed spaces triggers many intense symptoms of anxiety for those with claustrophobia. Anxiety and panic attacks usually include accelerated heart rate, difficulty breathing, and sweating, among other symptoms. Many claustrophobia symptoms are debilitating and uncomfortable, which is why this phobia can severely decrease quality of life. 

Claustrophobia symptoms include:

  • Intense anxiety or panic attacks
  • Sweating
  • Accelerated heart rate
  • Shaking
  • Feeling light-headed
  • Nausea
  • Difficulty breathing
  • Hyperventilating 
  • Fainting
  • Headache
  • Chest tightness
  • Confusion or disorientation

To mitigate these uncomfortable claustrophobic symptoms, individuals with this specific phobia often compulsively check the exits of a room, standing near them when possible. Someone with claustrophobia will go out of their way to avoid triggering places, such as choosing to take the stairs over an elevator, even if it is many flights. When given the choice, a sufferer of claustrophobia will choose open safe spaces to avoid the onset of these intense anxiety symptoms.

What Causes Claustrophobia?

Like many mental illnesses, the causes of claustrophobia are complex with a combination of environmental and genetic factors. Fear is a natural instinct for all humans because it helps us survive and find safety, but this instinct becomes extreme for those with claustrophobia. This severe fear can be caused by a past traumatic experience such as abuse, being trapped in a small space, or experiencing bullying. These experiences increase anxiety when a person is confined, and potentially leading or exacerbating claustrophobia. 

Claustrophobia can also be observed and learned from a parent or a peer. If you observe someone close to you who is afraid of enclosed spaces, you are more likely to learn this pattern and have this fear long-term. Those with a claustrophobic parent are more likely to become claustrophobic themselves. 

When it comes to genetic causes, researchers connect claustrophobia to dysfunction of the amygdala, which is the brain’s center for processing fear. People with claustrophobia tend to have a smaller amygdala, which plays a crucial role in causing anxiety, according to the 2009 study. Research published by the American Psychology Association also found that those with claustrophobia misjudge distances as closer than they actually are, which explains why they more readily perceive danger in enclosed or tight spaces. 

Additionally, research traces claustrophobia back to a single gene called GPM6A. Mutations of this stress-related gene cause claustrophobia, according to a 2013 study. Mental illness is rarely as simple as one gene, but this finding may provide insight into the genetic factors at play causing the onset of claustrophobia.

“Sometimes claustrophobia can get triggered by a traumatic memory which can come up unexpectedly and catch us off guard. By being more mindful when this happens we can understand our own trauma triggers better and work to decrease its impact on us next time.”

Talkspace therapist Bisma Anwar, LMHC

How Is Claustrophobia Treated?

Claustrophobia is a treatable condition, with many effective options available. Treatment is effective in 90% of cases — it is a curable condition. Psychotherapy is one of the best treatment options for claustrophobia and there are multiple forms of therapy that are effective in treating this phobia. 

Cognitive Behavioral Therapy helps change negative thoughts and feelings that come from situations that trigger claustrophobia,” Anwar says. “Exposure therapy works by a person being put in a situation that is similar, but non-threatening, where they can confront their claustrophobia and cope with their fear. Visualization techniques include picturing the scenario that they find anxiety-inducing.”

Types of therapy to treat claustrophobia

  • Cognitive behavioral therapy (CBT) — CBT is a tried and true method of treating anxiety disorders. A CBT therapist works with their client one-on-one to change negative thought patterns and the behaviors associated with these thoughts. For claustrophobia, this looks like sessions where you work through the fear associated with confined spaces and look for ways to overcome it.
  • Exposure therapy — this is another effective method for treating claustrophobia. This type of therapy slowly exposes the client to their fear so that over time they feel less overwhelmed and controlled by it. Through repeated exposure to the phobia, you can become desensitized to the intense fear previously associated with the situation. 
  • Visualization techniques — these techniques are also important for treating claustrophobia. In this method, the sufferer uses mental imagery to learn how to combat their fears. Visualizing a safe space while experiencing a panic attack can be a helpful technique. While in therapy, practicing visualization in order to cope with fear in the moment has been shown to be effective.

“Exposure therapy can be very effective to treat claustrophobia as it helps challenge those fears. It helps the individual realize that they can actually beat their negative thoughts and cope effectively with the anxiety that comes up from exposing themselves to what they are afraid of.”

Talkspace therapist Bisma Anwar, LMHC

Medications for claustrophobia

Medication works for treating claustrophobia as well, particularly in more severe cases. Anti-anxiety medication or antidepressants can decrease internal emotional dysregulation and increase the ability to cope when fears arise. Other natural supplements may work for individuals depending on their needs.

Tips for Managing Claustrophobia

When faced with a triggering situation, it is hard for someone who’s feeling claustrophobic to cope in the moment. There are ways to manage this fear though when confronted by a confined or crowded space. Practicing management strategies helps de-escalate the anxiety experienced when a trigger arises.

Ways to manage claustrophobia

A therapist can teach you how to best implement techniques like these when anxiety escalates. Some specific tips include: 

  • Deep breathing exercises. This can include counting inhalations and exhalations, placing a hand on your abdomen to feel your breath, square breathing, and other exercises
  • Visualization techniques (as described above).
  • Counting practices, such as counting up or down by 7s.
  • Grounding techniques that help you stay present. One option is using your five senses to focus on what you see, hear, touch, smell, and taste.
  • Repeating a calming mantra to yourself, such as “This feeling will pass” or “I am safe.”

These exercises, among many others, can help you cope with feelings of anxiety during a challenging situation. 

How to help someone with claustrophobia

It is scary to watch someone close to you deal with debilitating anxiety without knowing what to do. While you can’t solve mental illness with the snap of a finger, you can support your loved one through their challenges. Being there to listen and validate their feelings will likely mean the world to someone with anxiety. Helping them find treatment can also support them when they’re struggling for a way out.

If you or a loved one is dealing with claustrophobia, please seek out support from a licensed mental health professional. Claustrophobia is treatable; a life free from debilitating fear is attainable. 

Not sure where to start? Talkspace is a great first step, offering affordable online therapy with licensed professionals right at your fingertips. Get started on your journey towards healing today. 

Sources:

  1. Substance Abuse, Mental Health Services Administration. Table 3.11, DSM-IV to DSM-5 Specific Phobia Comparison. Substance Abuse and Mental Health Services Administration; 2016.

2. Lombardo CR. 22 fascinating claustrophobia statistics. HRF. Published December 18, 2014. Accessed December 28, 2021. https://healthresearchfunding.org/22-fascinating-claustrophobia-statistics/

3. Hayano F, Nakamura M, Asami T, et al. Smaller amygdala is associated with anxiety in patients with panic disorder: Smaller amygdala and anxiety in PD. Psychiatry Clin Neurosci. 2009;63(3):266-276. doi:10.1111/j.1440-1819.2009.01960.x

4. Apa.org. Accessed December 28, 2021. https://www.apa.org/monitor/2011/06/claustrophobia

5. El-Kordi A, Kästner A, Grube S, et al. A single gene defect causing claustrophobia. Transl Psychiatry. 2013;3(4):e254. doi:10.1038/tp.2013.28

6. Godden R. Breathing Exercises. Peterloo Poets; 1986.

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How to Overcome a Debilitating Phobia https://www.talkspace.com/blog/phobias-fear-debilitating/ Wed, 30 Oct 2019 14:00:25 +0000 https://www.talkspace.com/blog/?p=14558 Updated 3/3/2022 Many of us have things that we fear. After all, fear is a normal human emotion…

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Updated 3/3/2022

Many of us have things that we fear. After all, fear is a normal human emotion designed to alert us to danger in our environment. But, what happens when that fear isn’t really a threat? If you find yourself reacting with extreme fear or anxiety to objectively safe situations or objects, then you may be experiencing a phobia.

Phobias Defined

If you think you might have a phobia, you are not alone. According to the NIMH, approximately 9% of American adults experience a phobia in a given year. There are many common phobias therapists see often in clients.

Phobias fall under the classification of anxiety disorders, meaning that at the center of the condition is typically extreme anxiety and/or fear.

“[Phobias are an] excessive and persistent fear of a specific object, situation or activity that is generally not harmful.”

The American Psychiatric Association

That is, the person’s fear might be so extreme that it often defies the actual risk involved in being exposed to the feared object or situation. This fear often manifests in phobic avoidance (extreme avoidance of the feared item or situation).

A phobia, by definition, refers to objects or situations that are generally not actually harmful. As an example, a flying phobia is considered excessive due to the general safety of flying. The same can be said for a fear of public speaking.

Some examples of phobias recognized by the American Psychological Association include:

  • Agoraphobia: a fear of situations where you may be trapped or find it difficult to escape such as mass transit, wide open spaces, close spaces like elevators, etc.
  • Social Phobia or Social Anxiety Disorder: characterized by a fear of being judged or evaluated by others.
  • Animal-specific phobias: for example, Cynophobia which is the fear of dogs.
  • Arachnophobia: a specific phobia represented by a fear of spiders.

It’s important to note that experiencing fear is not the same as having a phobia. Phobias are often incredibly disruptive to a person’s mental health and may impact their daily lives.

Signs Your Phobia May Be Getting Out of Hand

But how do you know when a fear crossed over into the territory of being a phobia?

While every person’s phobia and mental health can manifest in its own unique way, there are some general signs that you may want to watch out for to determine whether or not your phobia has gotten out of hand.

Here are a few signs your fear has become debilitating:

  • When exposed to the feared object, the fear is almost instantaneous and manifests in an extreme fashion (if feared object or situation is unavoidable).
  • The person with the phobia actively avoids the feared objects or situations.
  • The phobia (and/or avoidance they incite) causes the person significant mental distress and/or negatively impacts other areas of the person’s life such as work, school, or relationships.

If you notice these signs in your own life, or they are coming up more often, it could be an indicator that you should contact a mental health professional for ongoing support and treatment. Getting help is often a difficult step — due to the pervasive stigma around mental health — but unfortunately phobias (as well as other mental health conditions) rarely get better on their own. Most often, they tend to get more severe. When you have a lot to lose, an untreated mental health condition can have a devastating impact on your life.

Getting Treatment for a Phobia: What to Expect

If you choose to seek out treatment, make sure that you connect with a professional who has specific experience or expertise in treating phobias. It’s a special skill set that will provide you the best help on the path toward recovery.

Most mental health conditions are best treated by a combination of medication and psychotherapy. Medication can be helpful to increase your ability to accept and tolerate exposure treatment, which is most often recommended for phobias.

Exposure therapy

Exposure therapy (or exposure and response prevention) is a form of therapy designed to teach you the skills to better cope with your fear and anxiety. It’s a difficult course of treatment as it requires ongoing, structured exposure to your phobia along with the guidance and support of a licensed professional who trains you how to cope with those challenges.

But what does exposure therapy actually look like in practice?

Let’s consider the example of someone that has developed a phobia of clowns. Sessions might start off with early exposures — like talking about clowns in therapy sessions, while later exposures might include looking at photos of clowns or watching video clips of them. As treatment progresses, advanced exposures might involve actually seeing one, or interacting with a clown, in person.

Exposure is often very scary. But when it’s done systematically, with a supportive and well-trained therapist, you can move forward safely. Ultimately, you will feel a great deal safer and calmer in those feared situations.

While phobias can be incredibly disruptive to one’s life, with the right treatment you can go on to live a life that’s not determined by your fear and anxiety. Some people go into complete remission, while most still might experience fear and anxiety of their feared objects or situations, but in a much more sustainable fashion, and in a way that’s not disruptive to their day to day lives. With the right help, you can manage your fears and live a life unencumbered by phobias.

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Top 10 List of Most Common Phobias https://www.talkspace.com/blog/list-of-phobias-common-therapy/ Wed, 30 Oct 2019 13:00:49 +0000 https://www.talkspace.com/blog/?p=14581 Updated 03/21/24 Fears are inevitable, but when irrational fear of something becomes debilitating and impacts your everyday life,…

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Updated 03/21/24

Fears are inevitable, but when irrational fear of something becomes debilitating and impacts your everyday life, it’s considered a phobia. Phobias are a type of anxiety disorder that provokes excessive, persistent, and extreme fear. They can arise from almost anything, some that seem stranger than others, and about 12.5% of people in the U.S. experience phobias. So you may wonder: what are the most common phobias, and what can you do to alleviate them?

We asked our Talkspace therapists what the most common phobias are among clients, and they shared this list of phobias and how to help alleviate them with phobia treatment options:

  1. Social Phobia: Fear of social interactions
  2. Trypophobia: Fear or circle clusters
  3. Atychiphobia Fear of failure
  4. Thanatophobia: Fear of death
  5. Nosophobia: Fear of developing a disease
  6. Arachnophobia: Fear of spiders
  7. Vehophobia: Fear of driving
  8. Claustrophobia: Fear of enclosed spaces
  9. Acrophobia: Fear of heights
  10. Aerophobia: Fear of flying

Read on to learn more about the top 10 most common phobias. 

1. Social Phobia: Fear of Social Interactions

Also known as Social Anxiety Disorder, social phobias are by far the most common fear or phobia our Talkspace therapists see in their clients. Social Anxiety Disorder makes a social situation or everyday interactions challenging, stressful, and anxiety-provoking for its sufferers — therapy for phobias can often be a great, professional help in working towards more confidence.

2. Trypophobia: Fear of Circle Clusters

Although this common phobia could come off as silly at first, many people have a very real struggle with trypophobia. There are many theories of what causes trypophobia, most of which point toward human evolution. The image of circle clusters is reminiscent of things we as humans have feared in the past, like infectious diseases and dangerous animals like bees.

3. Atychiphobia: Fear of Failure

Atychiphobia is the intense fear of failure. In some ways, we’re all afraid of failure, however, when this common phobia becomes debilitating and one is unable to progress in life, it’s time to seek professional help. An atychiphobia fear may be part of a more general social phobia, which a licensed professional can help sort out.

4. Thanatophobia: Fear of Death

Thanatophobia, the fear of death, is not shocking, but when it takes over day-to-day activities and causes extreme anxiety that prevents seemingly normal activities and behavior, it becomes a serious problem.

5. Nosophobia: Fear of Developing a Disease

Although similar to hypochondria, nosophobia is severe anxiety about minor symptoms you fear are a more serious condition. Nosophobia can often be treated with exposure therapy, cognitive behavioral therapy, or medication — it’s best to communicate these concerns to a professional in order to take the best course of action.

“The fear of developing a disease has been so intense over the last couple of years thanks to the COVID-19 global pandemic. If you have started developing health anxiety, know that you are not alone and that therapy is highly effective!”

Talkspace therapist Ashley Ertel, LCSW, BCD

6. Arachnophobia: Fear of Spiders

Arachnophobia is the extreme fear of spiders and other arachnids, such as scorpions — most commonly this excessive fear is linked to an evolutionary response against these creatures, many of which are poisonous. Symptoms of arachnophobia fear most often appear during childhood, but can also develop into adulthood. As with most phobias, anxiety from this specific fear can manifest as physical symptoms, too.

7. Vehophobia: Fear of Driving

Vehophobia is the fear of driving — often on highways or bridges. For most who suffer from vehophobia, the phobia follows involvement in a car accident or witnessing one. This specific fear is often similar to symptoms of Acute Stress Disorder or PTSD, depending on their individual experience.

8. Claustrophobia: Fear of Enclosed Spaces

Fear of enclosed spaces. Feeling claustrophobic, or fearing a tight, enclosed, or confined space, includes symptoms such as difficulty breathing or a fear of running out of oxygen. It is believed that about 5% of the population suffers from claustrophobia —often this includes experiencing extreme anxiety on airplanes, busy venues such as shopping malls, or crowded elevators — you can feel claustrophobic in any confined space or situation where you feel trapped or confined.

9. Acrophobia: Fear of Heights

Acrophobia, the fear of heights, fear is believed to be partially ingrained, whether biologically or evolutionarily, as a survival mechanism. We all need to be a little afraid of heights because of the danger of falling. The acrophobia fear, however, is a hyper-reaction — an unreasonable and perhaps debilitating feat — that could be caused by one’s parents’ overreaction or a previous fall.

10. Aerophobia: Fear of Flying

The fear of getting on a plane is often associated with other fears, like the fear of closed spaces, or fear of heights — it can also be passed down from parents if they are anxious flyers. Another cause involves the media coverage of plane and helicopter accidents.

Whatever phobia it may be, it’s common to experience a panic attack, especially when confronted with the source of the phobia. Symptoms of a panic attack include:

  • Sudden intense fear
  • Sweating
  • Heart palpitation
  • Chest pain
  • Out of breath
  • Numbness
  • Dry mouth
  • Ringing in ears
  • Hot flashes

Don’t be ashamed that you have an irrational fear of something. Whatever your phobia may be — it’s completely valid. Phobias shouldn’t be ignored or brushed to the side; it’s important to talk to a professional if they’re all-consuming. Although phobias can interfere with your life and daily routine, there are ways to get help. Phobia treatment options may include therapy, medication, or a combination of both. Even if your fear is not on this phobias list, any kind of phobia is valid. Always remember, you deserve to live a phobia-free life!

“How amazing would it be to find that the unknown also holds the keys to your own liberation? The thing we fear the most may, in fact, lead us down the path of freedom with the proper guidance and support.”

Talkspace therapist Ashley Ertel, LCSW, BCD

Sources:

  1. Substance Abuse, Mental Health Services Administration. Table 3.11, DSM-IV to DSM-5 Specific Phobia Comparison. Substance Abuse and Mental Health Services Administration; 2016.
  2. Specific phobia. National Institute of Mental Health (NIMH). Accessed December 28, 2021. https://www.nimh.nih.gov/health/statistics/specific-phobia

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What is Trypophobia? https://www.talkspace.com/blog/what-is-trypophobia-circle-cluster-fear/ Sat, 24 Aug 2019 14:18:39 +0000 http://www.talkspace.com/blog/?p=13534 How do you feel when you look at a honeycomb, a spotted animal, an open pomegranate, or the…

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How do you feel when you look at a honeycomb, a spotted animal, an open pomegranate, or the little bubbles that form in your morning latte? For most of us, we feel nothing in particular. But for someone with trypophobia, a phobia of holes, images that contain tightly clustered holes may elicit strong feelings of fear, disgust, or panic.

What Is Trypophobia?

As of now, trypophobia is not a mental health condition recognized by the American Psychiatric Association, nor is it listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). However, it is recognized as a common condition by many mental health professionals, and certainly feels real — and sometimes quite troubling — to anyone who experiences it.
While it’s difficult to determine exactly how common trypophobia is, a study published in Psychological Science found that 16% of participants surveyed exhibited feelings of fear, discomfort, aversion, and disgust while looking at a cluster of holes, such as those in a lotus seed pod.

What Are The Symptoms of Trypophobia?

Trypophobia is triggered primarily by images, and many people experience symptoms within seconds of viewing these images. Again, it’s images of tightly clustered holes that usually cause symptoms, but some people report symptoms based on any image that contains holes or spotted patterns.
Here are some of the most common trypophobia triggers:

  • Honeycombs
  • Strawberries
  • Insect eyes
  • Coral
  • Sponges
  • Bubbles
  • Lotus seed pods
  • Cantaloupe
  • Clusters of eyes
  • Spotted animal skin
  • Water condensation
  • Pomegranates

Usually people who have trypophobia experience strong reactions when viewing these images, though there is a wide range of feelings associated with the condition. Here are some of the most common emotional and physical reactions reported by people who have trypophobia:

  • Fear
  • Disgust
  • Discomfort
  • Nausea
  • Repulsion
  • Panic
  • Increased heartbeat
  • Itching and “creepy crawly” skin sensations
  • Sweating
  • Shaking
  • Goosebumps
  • Shortness of breath

What Causes Trypophobia?

Experts have not been able to definitively pin down what causes this phobia of holes, but there are some theories, most having to do with human evolution and adaptation. The idea is that images of tightly packed holes are reminiscent of things that humans have understandably feared (dangerous animals, infectious diseases) and that viewing images that look similar to these elicit uncomfortable feelings in people who have trypophobia.
For example, according to research published in Cognition and Emotion, trypophobia may be related to the fear of parasites and infectious diseases, which often present in patterns of closely clustered together holes (boils, the measles rash, insect bites, a body covered in flies, etc.).
“We suggest that aversion to clusters is an evolutionarily prepared response towards a class of stimuli that resemble cues to the presence of parasites and infectious disease,” the researchers explain. “Trypophobia may be an exaggerated and overgeneralised version of this normally adaptive response.”
Some researchers have surmised that a phobia of holes is related to a fear of dangerous animals. However, other researchers found that there was no correlation between images of venomous animals and trypophobia, but simply that trypophobic images and visual patterns are inherently scary for some people.

Treatments For Trypophobia

If you experience a phobia of holes, you may feel embarrassed to share how you feel. You should know that there is nothing wrong with you. Trypophobia is more common than most realize, it’s one of those things that has more to do with how you are wired than anything else. Some of us are more sensitive to these images than others.
That said, you shouldn’t have to just “grin and bear it” if you feel that a phobia of holes is making it difficult to function or enjoy your day-to-day life. Trypophobia is associated with increased rates of anxiety and depression, so if you are struggling with those along with a phobia of holes, it may be time to seek therapeutic help.
Types of therapy that may be helpful for trypophobia, include exposure therapy (used effectively for many types of phobias) and cognitive behavioral therapy (CBT). Sometimes medication may be appropriate to help you manage your anxiety or depression symptoms. Utilizing meditation and relaxation techniques, eating well, exercising, and practicing good sleep hygiene can also help mitigate your symptoms.
Anyone who has experienced trypophobia knows that it’s a very real condition, and can be uncomfortable, even terrifying at times. Suffering through it doesn’t have to be your reality. Help is out there, and you deserve to feel better so that you can live a full and happy life.

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