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SPECIFIC
PHOBIA ? not explained by symptoms
,marked fear
of other
of a specific
mentalobject/situation
disorder > 6mon
1
SPECIFIC PHOBIA
examples
Blood Injection Injury Situational Phobia
Phobia Intense fear of public
transportation or enclosed
Intense fear of blood, places
injection, and injury
related situations ex. Intense fear of flying,
claustrophobia
Age of onset : approx 9
years old Age of onset : midteens mid
20s
Symptoms : Symptoms :
Fainting Panic attacks in feared
Increasing heart rate situations
and/or blood pressure Feeling need to escape 2
SPECIFIC PHOBIA
examples
Natural Environment Phobia Animal Phobia
Intense fear of Intense fear of animals or
situations/events in nature
Intense fear of heights, insects
storms, and/or water
Age of onset : approx 7 years
Age of onset : approx 7 years
old old
Observin How do
Specific Experien
g
ce False
Someon Phobias Alarm
e Else Develop?
1. Snakes
Most common Specific Phobias
2. Heights
3. Flying
5
TREATMENT
Gradual and structured
exposure to phobic
object or situation with
professional
Practicing approaching
situation at home
Direct therapy for panic
attacks
similar to panic disorder treatment
6
DSM5 CRITERIA WHAT IS
SOCIAL
lained
fear/anxiety/avoidance
by symptoms of other
of social
mentalsituations PHOBIA ?
disorder> 6months
AKA Social Anxiety Disorder (SAD)
Extreme and irrational fear and
iety/avoidence
social situtations
-> impairs
almost
everyday
alwayslife
provoke avoidance of social situations
fear/anxiety
Afraid of being scrutinized /
negatively evaluated
fear/anxiety is excessive to actual danger
7
inherit
vulnerability to
develop anxiety
and/or be socially
inhibited
Cause
s of
Social
Phobia
undergo a panic
Experience
Experience a a real
real attack in a
trauma in social
trauma in social
situation
stressful situation
situation
(humiliation)
(humiliation)
associated to
social cues 8
SAD Statistics
12.1% general population suffer at least
once in life
2nd most prevalent anxiety 35 million ppl in US suffer
disorder
Usually begins in adolescence
50:50 female to male ratio
- peak onset 13 years old
18 29 years old,
More prevalent : undereducated, single,
low socioeconomic class
9
TREATMENT
Cognitive behavioral
treatment
Interpersonal
psychotherapy
Confront patients with
actual consequences of
social situation
Drug treatment
Beta-blockers 10
SSRIs Paxil, Zoloft, and Effexor