Phobias

By Veronica Oquendo

Phobias are defined in psychology as an intense and irrational fear of a specific object or situation. Currently, 9.1% of U.S. adults suffer from a specific phobia. Some of the most common phobias include: Acrophobia (heights), ophidiophobia (snakes), and Mysophobia (germs and dirt. The DSM-5 divides the phobias into 5 categories:

Natural/Environment Type: Thunder and lighting (astraphobia), Water (aquaphobia)

Injury Type: Injections (tryanophobia), Accidents (Dystychiphobia)

Animals or Insects: Spiders (arachnophobia), Dogs (cynophobia)

Situational: Enclosed Spaces (claustrophobia), Flying (aviophobia)

Other: Vomiting (emetophobia), Choking (Pseudodysphagia) 

Although, not all fears are considered phobias, it would need to fit the criteria of being: unreasonable and excessive, have an immediate anxiety response, have recognition that the fear is irrational and not required, avoidance or extreme distress, and be life limiting, have at least a six month duration, and not be caused be another disorder. Exposure to the phobia has been known to cause severe panic attacks. Treatment for phobias include: psychotherapy, cognitive behavioral therapy (CBT), medication management, exposure therapy, stress management techniques, and support groups.

If you or someone you know is struggling with a specific phobia, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/.

Sources: 

https://www.nimh.nih.gov/health/topics/anxiety-disorders/index.shtml

https://www.psychologytoday.com/us/conditions/specific-phobia

OCD: Exposure Therapy and Medication

OCD stands for Obsessive Compulsive Disorder and is a chronic, long-term disorder in which a person has uncontrollable reoccurring thoughts and/or behaviors that take over and are constantly repeated. These repetitions can take over one’s life; all they can focus on are one’s obsessions and nothing else. Obsessions are defined as “repeated thoughts, urges, or mental images that cause anxiety,” while compulsions are “repetitive behaviors that a person with OCD feels the urge to do in response to their obsessions.” It’s a common disorder affecting about 1% of the U.S. on any given year, with a lifetime prevalence of OCD among U.S. adults falling at 2.3%. Symptoms can present themselves in a range of mild to serious, with about ½ of OCD cases falling under serious.

Exposure and Response Prevention, also known as ERP therapy, is a common form of treatment for individuals with OCD, but it can be very harsh and relentless. In simple terms, ERP therapy takes the OCD patient and places them at the forefront of their fears so that they confront them head on, with no protection. However, when doing this they’re guided by a trained therapist to ensure they don’t resort to their compulsive behaviors. An example of this type of therapy would be having a patient who suffers from germaphobia stick their hands in dirty water without washing their hands after. Over time they’re usually able to adapt to and overcome their fears, but it takes a lot of hard work. Unfortunately, this type of therapy doesn’t work for everyone and many individuals fighting OCD need medication instead, or a combination of both. Some common OCD medications are Zoloft, Prozac, and Luvox. These are all anti-depressants approved by the FDA to treat OCD.

If you or someone you know is struggling with obsessive compulsive disorder, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

Sources: https://www.nimh.nih.gov/health/topics/obsessive-compulsive-disorder-ocd/index.shtml https://www.psychologytoday.com/us/therapy-types/exposure-and-response-prevention