Phobic anxiety disorder


Phobic anxiety disorder
It is an irrational fear of a specific object, situation or activity, often leading to persistent avoidance of the feared object, situation or activity.
ü   Presence of fear of an object, situation or activity
ü  Fear is out of proportion to the dangerousness perceived.
ü  Patient recognizes fear as irrational
ü  Unable to control and distressed by it.
ü  Avoidance of the object
ü  Preoccupation with the phobic objects
F40.0   agoraphobia
             .00  without panic disorder
             .01   with panic disorder
F40.1   social phobia
F40.2   specific phobias (isolated)
F40.8   other phobic anxiety disorders
F40.9   phobic anxiety disorder,unspecified.
Social phobia
It is characterized by a marked and persistent   fear of  one or more social or performance situations, in which the person is exposed to unfamiliar people or to possible scrutiny by others.
Agora Phobia
Fear of being alone in public places from which the person thinks escape would  be difficult or help would be unavailable, if he or she is incapacitated.
Simple phobias
It is characterized by an excessive and persistent fear of  a  specific object or situation.
Acrophobia - fear of heights.
Algophobia – pain
Autophobia – being alone
Claustrophobia – enclosed places
Entomophobia – insects
Kenophobia – empty spaces
Larrophobia – doctors
Mysophobia – dirt
Pathophobia – disease
Hematophobia- sight of blood
Ø  Psychodynamic theory
Failure to repress painful experience resulting in secondary defense mechanism which is displacement.In turn will cause fearfulness to neutral stimulus
Ø  Learning theory
When stressful stimulus is paired with a harmless object, on repetition harmless object will produce fear
Ø  Cognitive theory
            Phobias are the result of irrational and negative thinking.
Common in females
Sudden onset
Ø  Pharmacological
o   Benzodiazepines
o   Anti depressants
Ø  Psychological
Ø  Behavioural therapy
Ø  Cognitive therapy
Ø  Supportive psychotherapy
Nursing management
v  Fear
v  Impaired social interaction
v  Ineffective individual coping



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item Phobic anxiety disorder
Phobic anxiety disorder
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