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There is No Explanation for the Fear

No one knows for sure how phobias develop. In many cases, though, a person can readily identify an event or trauma, such as being chased by a dog, that triggered the phobia. What puzzles experts ís why some people who experience such an event develop a phobia & others do not. Many psychologists believe the cause lies ín a combination of genetic predisposition mixed with environmental & social causes.

Phobic disorders are classified as part of the group of anxiety disorders, which includes panic disorder, post-traumatic stress disorder & obsessive-compulsive disorder. Several drugs regulated by the Food & Drug Administration (FDA) are now being used to treat phobias & other anxiety disorders

 

Repeated Experience

Many people with PTSD repeatedly re-experience the ordeal in the form of flashback episodes, memories, nightmares, or frightening thoughts, especially when they are exposed to events or objects reminiscent of the trauma. Anniversaries of the event can also trigger symptoms. People with it also experience emotional numbness and sleep disturbances, depression, anxiety, and irritability or outbursts of anger. Feelings of intense guilt are also common. Most people with it try to avoid any reminders or thoughts of the ordeal. It is diagnosed when symptoms last more than 1 month.

Physical symptoms such as headaches, gastrointestinal distress, immune system problems, dizziness, chest pain, or discomfort in other parts of the body are common in people with it. Often, doctors treat these symptoms without being aware that they stem from an anxiety disorder.

 

 


Psychiatric Problems

Up to 80 percent of patients with PTSD have a comorbid psychologic disorder.(7) Having had a psychiatric diagnosis before a trauma increases a person's risk for developing it. Also, having it increases the risk of later developing psychiatric problems.(8) The most common diseases that occur with it are major depression, dysthymia, generalized anxiety disorder, substance abuse, somatization, panic disorder, bipolar disorder, phobias and dissociative disorders.(7) 


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Any coexisting psychiatric conditions should be treated simultaneously with it because the particular psychologic issues cannot be separated.

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