Phobias

Question 1

Px

Answer 1

Recurr excess and unreasonable psych or autonomic symps of anx in (anticip) presence of specif feared thing which is not currently dangerous. Avoidance. Anticip anx.
Anim, nat env, blood/injec/inj, sit, other,

Question 2

Prevalence

Answer 2

Lifetime 12.5%
Yng onset
More comm in wom excep soc phobia
5-10% of popn. 
Often co exists with dep.

Question 3

Aetiology

Answer 3

Genetic
Psychoanalytical- symbol of unconc conflict repressed and displaced.
Laerning theory- conditioned resp, learned avoidance. Obs learning also imp.
Pairing of specif obj or sit with the emot of fear and panic.
Specif phobia run in fams.

Question 4

Comorbidities

80% have psych comorbids

Answer 4

Other ADs

Mood disorder

Question 5

Diffs

Answer 5

Panic disorder
Agoraphobia
Soc phobia
Hypchndriasis
OCD
Psychosis

Question 6

Mx

Answer 6

CBT- gradated exposure.
Reciprocal inhib, flooding, modelling, self help.
Educat, anx mx, coping skills, cog restruc.
Drugs onl if v sev- BDZ, BB, antiD (SSRI 1st line).
ST psychodynamic therapy.
Others eg insight orientated psychotherapy, hypnosis, supportive therapy, family therapy.

Question 7

prognosis

Answer 7

Chronic w/o tx

Often dont present until life changes force confrontation.