Fear of place
Introduction
Introduction Phobia is a neurosis with terror symptoms as the main clinical manifestation. The particular thing or situation that is feared is external, even though there is no danger at the time. Terror attacks are often accompanied by significant autonomic symptoms. The parties try to avoid the situation they are afraid of. The fear reaction is extremely disproportionate to the object that caused the fear. He himself knows that the fear is excessive, inappropriate or unreasonable, but it does not prevent the terrorist attack. Location phobia is also known as square phobia, wild phobia, party phobia. It is the most common type of phobia, accounting for about 60%. More than 25 years old, about 35 years old is another peak age, more women than men.
Cause
Cause
The cause is unknown and may be related to the following factors:
First, genetic factors: Slater et al (1977) reported that among the first-degree relatives of patients, 20% of parents and 10% of siblings suffer from neurosis, and genetic factors may be related to the onset. It has also been pointed out that there is no evidence to date that heredity plays an important role in the development of this disease.
Second, personality characteristics: pre-disease personality tends to be naive, timid, shy, dependent and introverted.
Third, mental factors: often play a more important role in the onset. For example, if someone encounters a car accident, they will be afraid of riding. It may be that a situation happens on the background of anxiety, or an acute anxiety occurs in a certain situation, and it is feared and fixed to become a terrorist object.
The horror of a particular object may be related to the education of the parents, the impact of the environment, and personal experience (such as being bitten by a dog and being afraid of dogs). The psychodynamics believe that terror is the result of the symbolic role and substitution of the repressed subconscious anxiety. The role of conditioning and learning mechanisms in the development of this disease is a more convincing explanation.
Examine
an examination
Severe fear and anxiety, accompanied by fear of anxiety, in crowded and crowded places such as venues, shops, stations, theaters, or confined spaces such as closed cars or elevator cars, cabins, etc. Consistent symptoms of autonomic dysfunction such as shortness of breath, palpitations, sweating, tremors, dizziness, stuns, etc., as well as active avoidance or escape from such a place. When the patient is again exposed to the location feared by the patient, the patient immediately experiences the same fear or panic reaction and takes appropriate escape avoidance behavior. Even before being exposed to such a site, the patient may become nervous and try to avoid the possibility of such exposure. Severe phobias may limit the space of their activities to the home because of fear of any situation in a crowded place, seriously impairing their social function.
In addition to the above-mentioned manifestations, place phobia is also afraid of being alone in the open countryside, plaza, etc., and the inner heart is worried if there is no help or support when there is a fall or the onset of illness. Some people will Become a vacant land fear. The fear of vacant land is more common in patients of middle age or older, and there is also a typical place phobia.
Diagnosis
Differential diagnosis
Differential diagnosis of place fear:
Social phobia: more than 17 to 30 years of age, often no obvious cause of sudden onset. The main feature is that I am afraid of being watched. Once I find someone else to pay attention to myself, I am not natural. I am blushing, afraid to look up, dare not look at people, and even feel uncomfortable. Therefore, I dont want to socialize. I dare not speak in public. I dont dare to sit in the assembly. In front of.
