What Causes Phobias?
Research suggests that both genetic and environmental factors impact the onset of phobias. Specific phobias have been linked to a fearful first encounter with the phobic object or situation. Sometimes children develop phobias by seeing the fearful reactions of others. Symptoms get worse when they keep avoiding the feared object or situation.
Who Is Affected by Phobias?
Anxiety disorders are common in all ages. The rate of specific phobias in children and teens is thought to range from 1 percent to as high as 9.2 percent. These often start in childhood. These are not the fears that are normal for their age. Social anxiety disorder is thought to occur in up to 1.4 percent of children and teens. Panic disorder can start at any age, but most often starts during the teen and young adult years.
What Are Symptoms in a Child with a Phobia?
When a child or teen is exposed to, or anticipates exposure to, a specific object or situation that leads to intense fear or anxiety, they often:
- Have an increased heart rate
- Tremble or shake
- Feel short of breath
- Feel like they are choking
- Have chest pain or discomfort
- Have an upset stomach
- Feel dizzy or faint
- Fear they are losing control or going crazy
- Fear dying
- Feel numb
- Have chills or hot flashes
Each child’s experience can be different.
In panic attacks, at least four of the symptoms must happen with or without a known cause.
The symptoms of a phobia may look like other physical or mental health problems. Always consult your child's doctor for a diagnosis.
How Are Phobias Diagnosed?
A child psychiatrist, psychologist or other health or mental health expert will diagnose an anxiety disorders after a full medical and psychiatric evaluation. Parents who note signs of severe anxiety in their child or teen can help by seeking an evaluation and treatment early. Early treatment can prevent future problems.
Treatment for Phobias
Treatment for phobias will be advised for your child based on:
- Age, health and history
- Extent of symptoms
- Type of phobia
- How they handle specific medicine, procedures or therapy
- What is expected for the course of the condition
- Your thoughts or preference
There is effective treatment for phobias, like there is for other anxiety disorders. Treatment should always be based on a full evaluation of the child and family.
Parents play a vital support role in any treatment process. Treatment may include:
- Individual or cognitive behavioral therapy for the child. This is focused on helping the child learn new ways to control anxiety and panic attacks.
- Family therapy
- Meeting with the child's school
- Medicine for some children
Prevention of Phobias
Preventive measures to reduce the incidence of phobias in children are not known at this time.
Early detection and intervention can:
- Reduce how severe the symptoms are
- Enhance the child's normal growth and development
- Improve the quality of life of children and teens with anxiety disorders