How to deal with phobias

What are phobias?

If you feel extremely frightened by something that other people think is not scary or dangerous and you do your best to avoid the thing that triggers your fear, you may have a phobia.

Phobias are a kind of anxiety disorder or irrational fear. In itself, anxiety is not a problem. We all need to feel anxious sometimes so we can be alert and deal with problems or danger. It is hard to live with though, if you feel it all or most of them time, or when it is so strong that you cannot carry on.

How anxiety affects the body

We are all familiar with the symptoms of anxiety: those tell-tale butterflies in the stomach, the need to go to the toilet again and again, the sleepless night. They are all natural ways of dealing with something challenging or dangerous, and usually they vanish once the danger is past. When you have a phobia however, your worry about the thing or situation you fear feels out of control and the symptoms more extreme. Your anxiety and panic may seem to take over your life.

Types of phobias

Phobias fall into five main areas:

  • Agoraphobia – fear of leaving your safe place
  • Social phobia – fear of social interaction
  • Claustrophobia – fear of enclosed spaces
  • Blood or injury phobia – including fear of the doctor or dentist
  • Simple phobias – fear of things such as animals, vomiting, heights, or flying

Some people have overlapping phobias.

Help with phobias

The good news is that you are not alone. Phobias are extremely common – and you can overcome or find ways of coping with your phobia.

Self-help strategies

You can help yourself, perhaps by talking to someone close to you whom you trust or join a self-help group and find out how other people have dealt with a similar phobia. You can learn to relax, to reduce the overall level of anxiety you feel, or use a self-help book, perhaps one that uses the principles of CBT.

Professional support

If these self-help methods don’t work for you, it is worth asking for help from a professional. Many people put this off, but phobias really are common and treatable so it is well worth getting specialist support.

This support is likely to include a talking treatment like Cognitive Behavioural Therapy (CBT) that helps you to understand the reasons for your phobia. Your doctor may also suggest you try antidepressants to relieve your feelings of anxiety, perhaps in combination with CBT.

Anxiety UK: A charity for people with all kinds of anxiety disorders, including phobias. Helpline: 08444 775 774

No Panic (The National Organisation for Phobias, Anxiety, Neurosis, Information and Care): Support for people with a range of disorders including phobias. Helpline: 0844 967 4848

TOP UK (Triumph Over Phobia): Help for sufferers of phobias, OCD and related anxiety.

Phobias FAQ

What is the difference between a fear and a phobia?

A fear is a natural response to danger or a threatening situation, while a phobia is an intense, irrational fear of something that poses little or no actual danger. Phobias often lead to avoidance behaviour and can interfere significantly with daily life.

Can phobias go away on their own?

Some mild phobias may lessen over time, especially if the person is not frequently exposed to the trigger. However, more persistent phobias usually require some form of treatment, such as therapy or self-help strategies, to improve or resolve.

What causes phobias to develop?

Phobias can develop due to a combination of factors including past traumatic experiences, learned behaviours from family or peers, or genetic predispositions to anxiety. Sometimes, the cause isn’t clear at all.

Is medication necessary to treat phobias?

Not always. Many people successfully manage or overcome phobias through talking therapies like Cognitive Behavioural Therapy (CBT). However, in some cases, medication such as antidepressants or anti-anxiety drugs may be prescribed to support therapy.

How effective is CBT for treating phobias?

CBT is one of the most effective treatments for phobias. It helps individuals understand and change negative thought patterns and behaviours related to their fears. With practice and commitment, many people experience significant improvements.