Understanding Phobias

Phobias are essentially irrational fears that we can develop, often as a reaction to being under severe stress, sometimes following an acute panic attack in a specific situation, such as a supermarket, crowded shop, bus, train, underground or lift.

Common Types of Phobias

Agoraphobia, which is a fear of open spaces, is extremely common in women, and this prevents them from leading normal lives because they avoid going into situations which make them feel anxious, which increasingly limits their lifestyle.

Social phobia is more common in men and in these situations, the man is frightened of public speaking, authority figures and social situations.

Symptoms of Phobias

The symptoms of phobias can include intense fear, avoidance behaviours, panic attacks, sweating, rapid heartbeat, and a strong desire to escape the triggering situation.

Treatment Options for Phobias

Cognitive Behavioural Therapy is a way of modifying the response to the phobia and is often carried out in a slow ‘step-ladder’ approach to reverse the phobia gradually.  The person has to pursue increasingly more difficult tasks whilst using relaxation therapy to help to cope with their symptoms.

Our consultant psychiatrists will be able to help determine the best course of treatment for each individual, as well as look at prescribing any appropriate medication to help with relieving the anxiety caused by the phobia.

Phobias FAQ

What are phobias and how do they differ from general anxiety?

Phobias are intense, irrational fears of specific objects, situations, or environments that pose little to no actual danger. Unlike generalised anxiety, which is persistent and not linked to a particular trigger, phobias are usually focused on a clearly defined stimulus and often lead to avoidance behaviour.

What are the most common types of phobias?

Common phobias include agoraphobia (fear of open or public spaces), social phobia (fear of social situations or being judged), and specific phobias such as fear of heights, flying, or enclosed spaces. These phobias can significantly interfere with daily functioning if left untreated.

What are the symptoms of a phobia?

Symptoms of phobias can include rapid heartbeat, sweating, shortness of breath, nausea, dizziness, and a strong desire to avoid the feared situation. In some cases, individuals may experience full panic attacks when exposed to the source of their phobia.

Can phobias go away on their own without treatment?

While some mild phobias may diminish over time, most tend to persist or worsen without professional intervention. Avoidance can reinforce the fear response, making the phobia more difficult to manage. Early treatment significantly improves outcomes and helps individuals regain confidence and control.

When should I seek professional help for a phobia?

You should seek help if a phobia is significantly impacting your daily life, relationships, or work. If avoidance is limiting your ability to function or causing distress, a psychiatric assessment can help identify effective treatment options and improve your quality of life.