Dr. Roxanne Dryden-Edwards is an adult, child, and adolescent psychiatrist. She is a former Chair of the Committee on Developmental Disabilities for the American Psychiatric Association, Assistant Professor of Psychiatry at Johns Hopkins Hospital in Baltimore, Maryland, and Medical Director of the National Center for Children and Families in Bethesda, Maryland.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Helping those who suffer from phobias is thought to be most effective when psychotherapy and medications that are specific to the treatment of phobia are both used. One form of psychotherapy involves the supportive and gradual exposure of the individual with phobias to circumstances that are increasingly close to the one they are phobic about (desensitization). These situations can either consist of actual or computer-generated anxiety-provoking stimuli.
Cognitive behavioral therapy (CBT) has been found to significantly decrease phobic symptoms by helping the phobia sufferer change his or her way of thinking. CBT uses three techniques to accomplish this goal:
What is a phobia? What are the different kinds of phobias?
A phobia is defined as the unrelenting fear of a situation, activity, or
thing that causes one to want to avoid it. The three types of phobias are
social phobia (fear of public speaking, meeting new people, or other social
situations), agoraphobia (fear of being outside), and specific phobias (fear of
particular items or situations).
Phobias are largely underreported, probably because many phobia sufferers find ways to avoid the situations of which they are phobic. Therefore, statistics that estimate how many people suffer from phobias vary widely, but at minimum, phobias afflict more than 6 million people in the United States, with the average age of developing a phobia being about 10 years of
age. Other facts about phobias include that these illnesses are not unusual and
are thought to affect up to 28 out of every 100 people, and in all western countries, phobias strike 7%-13% of the population. Women tend to be twice as likely to suffer from a phobia compared to men.
Some of the most common phobias include fears of public speaking or other social situations (social phobia or social anxiety disorder), open spaces
(agoraphobia), closed-in spaces (claustrophobia), clowns (coulrophobia), flying
(aerophobia), blood, animals (zoophobia), commitment (commitment phobia),
driving, spiders (arachnophobia), needles (aichmophobia), snakes (ophidiophobia),
math, heights (acrophobia or altophobia), germs (mysophobia), and having dental
work done (dentophobia). Fears of midgets, haunted houses, helmets, pickles, and feet are just a few of the less common fears/phobias and may be considered weird or strange by some but can be just as debilitating as those phobias that are more common. Agoraphobia often coexists with panic disorder.
Anxiety is a feeling of apprehension and fear characterized by physical symptoms. Anxiety disorders are serious medical illnesses that affect approximately 19 million American adults.
Panic attacks are sudden feelings of terror that strike without warning. These episodes can occur at any time, even during sleep. A person experiencing a panic attack may believe that he or she is having a heart attack or that death is imminent. The fear and terror that a person experiences during a panic attack are not in proportion to the true situation and may be unrelated to what is happening around them. Most people with panic attacks experience several of the following symptoms: racing heartbeat, faintness, dizzyness, numbness or tingling in the hands and fingers, chills, chest pains, difficulty breathing, and a feeling of loss or control. There are several treatments for panic attacks.
Stress occurs when forces from the outside world impinge on the individual. Stress is a normal part of life. However, over-stress, can be harmful. There is now speculation, as well as some evidence, that points to the abnormal stress responses as being involved in causing various diseases or conditions.
Alcoholism is a disease that includes alcohol craving and continued drinking despite repeated alcohol-related problems, such as losing a job or getting into trouble with the law.
Post-traumatic stress disorder (PTSD), a psychiatric condition, can develop after any catastrophic life event. Symptoms include nightmares, flashbacks, sweating, rapid heart rate, detachment, amnesia, sleep problems, irritability, and exaggerated startle response. Treatment may involve psychotherapy, group support, and medication.
Bipolar disorder (or manic depression) is a mental illness characterized by depression, mania, and severe mood swings. Treatment may incorporate mood stabilizer medications, antidepressants, and psychotherapy.
Agoraphobia is a fear of being outside or of being in a situation from which escape would be impossible. Symptoms include anxiety, fear, disorientation, rapid heartbeat, diarrhea, or dizziness. Treatment may incorporate psychotherapy, self-exposure to the anxiety-causing situation, and medications such as SSRIs, benzodiazepines, and beta blockers.
Separation anxiety disorder is a common childhood anxiety disorder that has many causes. Infants, children, older kids and adults can suffer from symptoms of separation anxiety disorder. Common treatment methods include therapy and medications.
Generalized anxiety disorder (or GAD) is characterized
by excessive, exaggerated
anxiety and worry about everyday life events with no obvious reasons for
worry. People with
symptoms of generalized anxiety disorder tend to always expect disaster and
can't stop worrying about health, money, family, work, or school. In people
with GAD, the worry often is unrealistic or out of proportion for the
situation. Daily life becomes a constant state of worry, fear, and dread.
Eventually, the anxiety so dominates the person's thinking that it interferes
with daily functioning, including work, school, social activities, and
relationships.
What Are the Symptoms of GAD?
GAD affects the way a person thinks, but the anxiety can lead to physical
symptoms, as well. Symptoms of GAD can include: