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Phobias

Umer Farooq, MD and Saeed Ahmed, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • A marked, persistent, excessive, and unreasonable fear of an object, activity, place, or situation

    • Symptoms develop in the presence/anticipation of the triggering factor(s). These fac...

DIAGNOSIS

HISTORY

A major finding is the presence of irrational or ego-dystonic fear of a specific situation, activity, or object with associated avoidant behavior. 

PHYSICAL EXAM

  • Symptoms associated wit...

TREATMENT

  • First-line treatment for specific phobia is behavioral therapy, which includes exposure therapy and cognitive-behavioral therapy (CBT).

  • Treat major psychiatric disorders first (bipolar, schiz...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Outpatient, as needed for medical management

  • Referral for outpatient psychotherapy (CBT)

DIET

Consider the restriction of stimulants, such as caffe...

REFERENCES

1
Rodebaugh TL, Holaway RM, Heimberg RG. The treatment of social anxiety disorder. Clin Psychol Rev.  2004;24(7):883–908.  [View Abstract]
2
Wolitzky-Taylor KB, Horowitz JD, Powers MB, et...

SEE ALSO

Anxiety (Generalized Anxiety Disorder); Depression; Dissociative Disorders; Obsessive-Compulsive Disorder (OCD); Posttraumatic Stress Disorder (PTSD); Schizophrenia 

CODES

ICD10

  • F40.9 Phobic anxiety disorder, unspecified

  • F40.00 Agoraphobia, unspecified

  • F40.218 Other animal type phobia

  • F40.11 Social phobia, generalized

  • F40.220 Fear of thunderstorms

  • F40.01 Agoraphobia wit...

CLINICAL PEARLS

  • CBT is a first-line, long-term effective treatment of panic with agoraphobia and social phobia. Behavioral exposure therapies are first-line, long-term effective treatments for specifi...

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