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Fobias

Una fobia es un miedo intenso o temor a una cosa o evento, que es desproporcionado a la realidad de la situación. El tratamiento más efectivo es la terapia cognitivo-conductual. Los medicamentos antidepresivos también ayudan en muchos casos.

De un vistazo

  • A phobia is an intense fear of a situation or object.

  • Symptoms include anxiety, distress, sweating, and a fast heartbeat.

  • Just thinking about the feared situation can cause symptoms.

  • Common phobias include social anxiety disorder and agoraphobia.

  • Treatments can include cognitive behavioural therapy and antidepressant medicines.

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Síntomas de la fobia

  • Ansiedad o malestar. If you come near to, or into contact with, the feared situation you become anxious or distressed. In addition you may also have one or more unpleasant physical symptoms. Read more about síntomas de ansiedad.

  • Síntomas físicos. The physical symptoms are partly caused by the brain which sends lots of messages down nerves to various parts of the body when you are anxious. For example, the palms of your hands may become sweaty.

  • Exposición a la adrenalina. In addition, you release stress hormones - such as adrenaline (epinephrine) - into the bloodstream when you are anxious. These can also act on the heart (make it beat fast), muscles and other parts of the body to cause symptoms.

  • La idea de un desencadenante puede causar síntomas. You may even become anxious by just thinking of the feared situation. You end up avoiding the feared situation as much as possible, which can restrict your life and cause distress.

Tipos de fobia

  • Social anxiety disorder. This is also known as social phobia and it is possibly the most common phobia. Consulte la hoja informativa separada llamada Trastorno de ansiedad social para más detalles.

  • Agoraphobia. This too is common. Many people think that agoraphobia means a fear of public places and open spaces. But this is just part of it. If you have agoraphobia you tend to have a number of fears of various places and situations. Consulte la hoja informativa separada llamada Agorafobia para más detalles.

  • Other specific phobias. Existen muchas otras fobias de una cosa o situación específica, por ejemplo:

    • Miedo a los espacios cerrados o a quedar atrapado (claustrofobia).

    • Miedo a ciertas criaturas, por ejemplo, las arañas (aracnofobia).

    • Miedo a las inyecciones o agujas (trypanofobia).

    • Miedo a vomitar (emetofobia).

    • Miedo a estar solo (monofobia).

    • Miedo a atragantarse (pseudodisfagia).

    • Miedo al dentista (dentofobia).

    • Miedo a volar (aerofobia).

    • Miedo a los agujeros (trypophobia).

    • Miedo al océano (thalassophobia).

Sin embargo, hay muchos otros, y algunos son bastante raros.

Tratamiento de la fobia

  • Cognitive and behavioural therapies.

  • Medicamentos antidepresivos

    • Antidepresivos are commonly used to treat depression.

    • However, they also help to reduce the symptoms of phobias (particularly agoraphobia and social phobia), even if you are not depressed.

    • Existen diferentes tipos de antidepresivos. Los antidepresivos inhibidores selectivos de la recaptación de serotonina (ISRS) son los más utilizados para los trastornos de ansiedad y fóbicos.

  • Benzodiazepinas. Benzodiazepinas como diazepam are sometimes called minor tranquilisers but they can have serious side-effects.

Preguntas frecuentes

What does having a phobia feel like physically?

When you encounter or even think about the situation or object you fear, your brain sends signals that cause a range of physical reactions. These can include sweating palms and an increased heart rate, as your body releases stress hormones like adrenaline into your bloodstream. These hormones affect your heart, muscles, and other body parts, leading to noticeable physical symptoms.

What is social anxiety disorder?

Social anxiety disorder, also known as social phobia, is considered one of the common types of phobias. It involves a fear of social situations.

What is agoraphobia?

Agoraphobia is a common phobia. While many people associate it only with a fear of public or open spaces, it actually involves fears of various places and situations. It's a broader condition than just fear of open spaces.

Which specific phobias are mentioned in the article?

The article lists several specific phobias, including claustrophobia (fear of confined spaces), arachnophobia (fear of spiders), trypanophobia (fear of injections), emetophobia (fear of vomiting), monophobia (fear of being alone), pseudodysphagia (fear of choking), dentophobia (fear of the dentist), aerophobia (fear of flying), trypophobia (fear of holes), and thalassophobia (fear of the ocean).

How do Cognitive and Behavioural Therapies help with phobias?

Cognitive and behavioural therapies, such as CBT, aim to help you change your patterns of thinking, feeling, and behaving. These therapies are effective in treating various mental health problems, including most phobias, although they may not be suitable for everyone.

Can antidepressants be used to treat phobias, even if someone isn't depressed?

Yes, antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), can help reduce phobia symptoms, especially for agoraphobia and social phobia. This can occur even if the person is not experiencing depression.

Are there any concerns with using benzodiazepines for phobias?

Benzodiazepines, sometimes referred to as minor tranquillisers, can be used. However, it's important to note that they can have serious side-effects.

Lecturas adicionales y referencias

Sobre el autorVer biografía completa

Imagen del autor

Dr Hayley Willacy, FRCGP

Médico General, Autor Médico

MBChB (1992), DRCOG, DFFP, MRCOG (Part 1) MRCGP (2007), DFSRH (2013), MSc - medical education (2020)

La Dra. Hayley Willacy fue una médica general del NHS que trabajaba en el noroeste de Inglaterra, quien se retiró de la práctica clínica en 2022 después de 30 años. 

Acerca del revisorVer biografía completa

Imagen del autor

Dr Colin Tidy, MRCGP

Médico General, Autor Médico

MBBS, MRCGP, MRCP (Paediatrics), DCH

El Dr. Colin Tidy es un médico del NHS, con sede en Oxfordshire.

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