Overcoming Aquaphobia: Seeking Medical Documentation for Swimming Course Exemption - Psychiatry

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Hydrophobia


Hello Dr.
Lin! I am currently a senior in college, and swimming is a required course at my school.
However, I nearly drowned twice when I was a child, and since then, I have developed a fear of water and a phobia of swimming.
I need a doctor's note to apply for an exemption, but with only a year left, I'm not sure what to do!

Lü Tongxue, 20~29 year old female. Ask Date: 2013/09/09

Dr. Lin Junyuan reply Psychiatry


Hello, it seems that in order to graduate smoothly, you need to address the issues related to the swimming course! I suggest you first inquire with the school's athletics department or the unit handling general education courses about any alternative options available, as there have been precedents for cases where students were unable to attend swimming classes.
If it involves obtaining a medical certificate, the principle is the same as with other medical conditions; you must continue to receive follow-up care, and only after a diagnosis can you apply for a medical certificate! In summary, I recommend that you quickly familiarize yourself with the relevant regulations and communicate with the school.
Wishing you a successful graduation!

Reply Date: 2013/09/09

More Info


Overcoming aquaphobia, particularly when it stems from traumatic experiences such as drowning, can be a significant challenge. It’s understandable that you are seeking a medical exemption from your university's swimming requirement due to your past experiences. Here’s a comprehensive approach to addressing your situation.

First, it’s important to recognize that aquaphobia, or the fear of water, is a common condition that can develop after traumatic incidents. In your case, the two drowning experiences likely contributed to a heightened sense of anxiety and fear when it comes to swimming or being in water. This fear can manifest in various ways, including panic attacks, avoidance behavior, and physical symptoms such as increased heart rate or sweating when near water.

To seek a medical exemption from your swimming course, you will need to provide documentation that supports your claim of aquaphobia. Here are the steps you can take:
1. Consult a Mental Health Professional: Schedule an appointment with a psychologist or psychiatrist who specializes in anxiety disorders or phobias. They can conduct an assessment to determine the severity of your aquaphobia and how it affects your daily life. This professional can provide a formal diagnosis, which may be necessary for your exemption request.

2. Obtain a Medical Letter: After your assessment, request a letter from the mental health professional that outlines your diagnosis and the impact of your condition on your ability to participate in swimming classes. The letter should clearly state that your fear of water is a result of past traumatic experiences and that it significantly hinders your ability to engage in swimming activities safely.

3. Document Your Experiences: If possible, keep a personal journal detailing your experiences with water, your feelings when faced with swimming, and any physical symptoms you experience. This documentation can be helpful for your mental health professional and can also serve as additional evidence for your university.

4. Explore Alternative Solutions: While seeking an exemption, consider discussing alternative options with your university. Some institutions may offer accommodations, such as allowing you to take a different physical education course that does not involve swimming or providing access to therapy sessions that could help you gradually confront your fear in a controlled environment.

5. Communicate with Your University: Once you have the necessary documentation, approach your university’s administration or the department responsible for physical education. Present your case respectfully and provide the medical documentation to support your request for exemption.

6. Consider Therapy: If you are open to it, consider engaging in therapy specifically designed to address phobias, such as cognitive-behavioral therapy (CBT). This type of therapy can help you develop coping strategies and gradually desensitize you to the fear of water, potentially allowing you to participate in swimming classes in the future.

In summary, overcoming aquaphobia is a process that often requires professional support. By consulting with a mental health professional, obtaining the necessary documentation, and communicating effectively with your university, you can work towards securing an exemption from the swimming course. Remember, your mental health and well-being are paramount, and it’s important to take steps that prioritize your comfort and safety.

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