Overcoming Extreme Fear: Anxiety and Phobias - Psychiatry

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Naturally timid and very anxious overall!


Hello, doctor.
I have always been timid.
When I was a child, I was afraid of the dark and didn't dare to sleep alone.
I was also very scared of cockroaches, mice, and other creatures.
Additionally, I am extremely afraid of watching horror movies or paranormal shows! As I grew up, although I am no longer afraid of the dark and have adapted to sleeping alone, my greatest fear remains mice.
Whenever I see a mouse, I scream uncontrollably and fall into a hysterical state! If a mouse appears in the kitchen, I absolutely cannot go in there alone for a long time! Even if I'm hungry, I won't step inside! Otherwise, I become paranoid, feeling like a mouse could appear at any moment! I even experience insomnia on the same day I see a mouse, as my mind keeps imagining that a mouse will run into my room! My family thinks I'm being dramatic because it's just a mouse, but I can't change my fear of it! There's also something else that my family can't tolerate: when we're watching TV and a guest is about to talk about paranormal events or similar clips are played, I immediately get nervous and change the channel, or I shout to turn down the volume.
I just don't want to hear any of it! Although my family says it's fake, I simply can't bring myself to watch it.
When I'm alone at night or taking a shower, the conversation content always pops into my head, making me feel cold and uneasy.
I initially thought it was normal to be afraid of horror movies, but my family is starting to wonder if I'm sick for being scared of so many things! I hope you can provide some guidance, doctor.
Thank you!

Amo, 20~29 year old female. Ask Date: 2006/07/22

Dr. Cai Yunlin reply Psychiatry


Hello Amo,
From your letter, it seems that you have been struggling with this fear-related anxiety for some time.
The intense anxiety responses you mentioned when facing certain organisms or situations, which lead you to avoid or feel uncomfortable enduring these situations, may clinically warrant consideration of anxiety-related disorders, such as phobias.
I recommend that you seek assistance from a mental health clinic nearby.
After a proper diagnosis, you can consider treatments such as cognitive-behavioral therapy or medication.

Best wishes,
Dr.
Tsai

Reply Date: 2006/07/22

More Info


Overcoming extreme fear, particularly in the context of anxiety and phobias, can be a challenging journey, but it is certainly achievable with the right strategies and support. Your experiences with fear, especially regarding mice and supernatural themes, are not uncommon and can be classified as specific phobias. Phobias are intense, irrational fears of specific objects or situations that lead to avoidance behavior and significant distress.

Firstly, it’s important to understand that phobias often stem from a combination of genetic, environmental, and psychological factors. Your childhood fears, such as fear of the dark, may have laid the groundwork for your current phobias. The fear of mice, for instance, could be linked to a past negative experience or simply a learned response from observing others react fearfully. The same goes for your aversion to horror films or discussions about supernatural events; these fears can be exacerbated by cultural narratives and personal experiences.

To address these fears, several therapeutic approaches can be beneficial:
1. Cognitive Behavioral Therapy (CBT): This is one of the most effective treatments for phobias. CBT helps you identify and challenge irrational thoughts related to your fears. For example, you might explore the likelihood of encountering a mouse in your kitchen and the actual dangers it poses. By reframing these thoughts, you can reduce the anxiety associated with them.

2. Exposure Therapy: This involves gradual exposure to the feared object or situation in a controlled manner. For your fear of mice, this could start with looking at pictures of mice, then watching videos, and eventually, if you feel ready, being in the same room as a mouse (perhaps in a safe environment). The goal is to desensitize yourself to the fear through repeated exposure.

3. Mindfulness and Relaxation Techniques: Practicing mindfulness can help you stay grounded in the present moment, reducing the anxiety that comes from anticipating future encounters with your fears. Techniques such as deep breathing, progressive muscle relaxation, or guided imagery can help calm your mind and body when you feel anxious.

4. Support Groups or Therapy: Speaking with a mental health professional can provide you with a safe space to explore your fears. They can offer personalized strategies and support. Additionally, connecting with others who share similar fears can help you feel less isolated.

5. Education: Sometimes, learning more about the object of your fear can reduce anxiety. Understanding the behavior of mice, for example, might help you realize that they are generally more afraid of humans than we are of them.

6. Medication: In some cases, medication may be prescribed to help manage anxiety symptoms. This is typically considered when therapy alone does not provide sufficient relief.

It's crucial to remember that overcoming phobias is often a gradual process. It requires patience and persistence. You might experience setbacks along the way, but with consistent effort and the right support, you can make significant progress.

Lastly, it’s essential to communicate with your family about your fears. While they may not fully understand your experiences, sharing your feelings can foster empathy and support. They can help create a more understanding environment, which can be beneficial as you work through your fears.

In summary, overcoming extreme fear and anxiety related to phobias is a multifaceted process that involves understanding the roots of your fears, employing therapeutic techniques, and seeking support. With time and effort, you can learn to manage your fears and improve your quality of life.

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