011 Diagnosis of Phobias with Dr. Kate Baker
Learn Psych Podcast21 Sep 2016

011 Diagnosis of Phobias with Dr. Kate Baker

Today's show is about how to diagnose a phobia, with Dr. Kate Baker of the University of Michigan. In two weeks, we will be back with a second episode on treatment of phobias.

This episode may be most helpful for pre-clinical and clinical students, as well as residents early in their training.

In today's episode we cover:

- Specific phobias (like fear of flying, fear of getting an injection)

- Social phobia (also known as social anxiety disorder), which can include things like fear of public speaking

- Agoraphobia

- Fear neurocircuitry

Specific Phobia criteria:
- intense anxiety, almost always provoked by stimulus
- avoidance / endured with intense anxiety
- anxiety out of proportion to actual danger
- clinical distress or impairment (social, occupational, etc)
- duration over 6 months
- not better explained by another disorder

Social phobia: one additional criterion to the specific phobia criteria is: individual fears that he/she will act in a way or show anxiety symptoms that will be negatively evaluated, such as being rejected or embarrassed.

Agoraphobia:
The additional criterion to specific phobia is two or more of the following:
Fear of:
- using public transportation
- being in open spaces
- being in enclosed spaces
- being in a crowd or line
- being outside the home alone

Basic steps of neurocircuitry:
1. signal of danger/trauma inputted into brain
2. brain puts context around this information
3. if brain interpretation is of concern, then fight/flight activated.

Key brain structure in the fear response is the amygdala.

Resources:

You may find it helpful to review fear neurocircuitry from the National Neuroscience Curriculum Initiative website.

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