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Deep Learning Technology: Sebastian Arnold, Betty van Aken, Paul Grundmann, Felix A. Gers and Alexander Löser. Learning Contextualized Document Representations for Healthcare Answer Retrieval. The Web Conference 2020 (WWW'20)
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As with most phobias this fear could be cured with therapy. Relaxation techniques or support groups could also be effective.
Medications can help regulate the apprehension and fear that come from thinking about or being exposed to a particular fearful object or situation. Antidepressant medications such as SSRIs or MAOIs may be helpful in some cases of phobia. SSRIs (antidepressants) act on serotonin, a neurotransmitter in the brain. Since serotonin impacts mood, patients may be prescribed an antidepressant. Sedatives such as benzodiazepines may also be prescribed, which can help patients relax by reducing the amount of anxiety they feel. Benzodiazepines may be useful in acute treatment of severe symptoms, but the risk-benefit ratio is against their long-term use in phobic disorders. This class of medication has recently been shown as effective if used with negative behaviors such as alcohol abuse. Despite this positive finding, benzodiazepines should be used with caution. Beta blockers are another medicinal option as they may stop the stimulating effects of adrenaline, such as sweating, increased heart rate, elevated blood pressure, tremors and the feeling of a pounding heart. By taking beta blockers before a phobic event, these symptoms are decreased, causing the event to be less frightening.
There are several options for treatment of scopophobia. With one option, desensitization, the patient is stared at for a prolonged period and then describes their feelings. The hope is that the individual will either be desensitized to being stared at or will discover the root of their scopophobia.
Exposure therapy, another treatment commonly prescribed, has five steps:
- Evaluation
- Feedback
- Developing a fear hierarchy
- Exposure
- Building
In the evaluation stage, the scopophobic individual would describe their fear to the therapist and try to find out when and why this fear developed. The feedback stage is when the therapist offers a way of treating the phobia. A fear hierarchy is then developed, where the individual creates a list of scenarios involving their fear, with each one becoming worse and worse. Exposure involves the individual being exposed to the scenarios and situations in their fear hierarchy. Finally, building is when the patient, comfortable with one step, moves on to the next.
As with many human health problems support groups exist for scopophobic individuals. Being around other people who face the same issues can often create a more comfortable environment.
Other suggested treatments for scopophobia include hypnotherapy, neuro-linguistic programming (NLP), and energy psychology. In extreme cases of scopophobia, it is possible for the subject to be prescribed anti–anxiety medications. Medications may include benzodiazepines, antidepressants, or beta-blockers.
There have been a number of studies into using virtual reality therapy for acrophobia.
Many different types of medications are used in the treatment of phobias like fear of heights, including traditional anti-anxiety drugs such as benzodiazepines, and newer options like antidepressants and beta-blockers.
Some desensitization treatments produce short-term improvements in symptoms. Long-term treatment success has been elusive.
Hypnotherapy can be used alone and in conjunction with systematic desensitization to treatment phobias. Through hypnotherapy, the underlying cause of the phobia may be uncovered. The phobia may be caused by a past event that the patient does not remember, a phenomenon known as repression. The mind represses traumatic memories from the conscious mind until the person is ready to deal with them. Hypnotherapy may also eliminate the conditioned responses that occur during different situations. Patients are first placed into a hypnotic trance, an extremely relaxed state in which the unconscious can be retrieved. This state allows for patients to be open to suggestion, which helps bring about a desired change. Consciously addressing old memories helps individuals understand the event and see it in a less threatening light.
Exposure therapy has been proven as an effective treatment for people who have a fear of bees. It is recommended that people place themselves in a comfortable open environment, such as a park or garden, and gradually over a prolonged period of time move closer to the bees. This process should not be rushed, it may take many months spent watching bees before people feel comfortable in their presence.
Apiphobia is one of the zoophobias prevalent in young children and may prevent them from taking part in any outdoor activities. Older people control the natural fear of bees more easily. However, some adults face hardships of controlling the fear of bees.
A recommended way of overcoming child's fear of bees is training to face fears (a common approach for treating specific phobias). Programs vary.
The most common treatment for serious cases is behavior therapy—specifically, systematic desensitization.
Several other self-help treatments exist, mainly involving exposure therapy and relaxation techniques while driving. Additional driving training and practice with a certified teacher also help many to become more confident and less likely to suffer from anxiety.
One of the emerging methods of treating this fear is through the use of virtual therapy.
With repeated exposure, all of the subjects displayed significantly less variance from normal in heart rate acceleration, depression readings, subjective distress, and post-traumatic stress disorder ratings.
The following are two therapies normally used in treating specific phobia:
Cognitive behavioral therapy (CBT), a short term, skills-focused therapy that aims to help people diffuse unhelpful emotional responses by helping people consider them differently or change their behavior, is effective in treating specific phobias. Exposure therapy is a particularly effective form of CBT for specific phobias. Medications to aid CBT have not been as encouraging with the exception of adjunctive D-clycoserine.
In general anxiolytic medication is not seen as helpful in specific phobia but benzodiazepines are sometimes used to help resolve acute episodes; as 2007 data were sparse for efficacy of any drug.
Phobias of this sort can usually be treated by different types of therapies, including: cognitive behavioral therapy (CBT), psychotherapy, behavior therapy and exposure therapy.
Practice may play an important part in overcoming fear. It may be helpful to sufferers to increase phone usage at a slow pace, starting with simple calls and gradually working their way up. For example, they may find it easier to start with automated calls, move on to conversations with family and friends, and then further extend both the length of conversations and the range of people with whom conversations are held.
Exposure methods, using video-taped exposure to others vomiting, hypnosis, exposure to nausea and exposure to cues of vomiting Systemic behavior therapy, psychodynamic and psychotherapy have also shown positive effects for the treatment of emetophobia. However in some cases it may cause re-traumatization, and the phobia may become more intense as a result.
Anxiety around mirrors and at all costs staying away from mirrors
Nyctophobia is a phobia characterized by a severe fear of the dark. It is triggered by the brain’s disfigured perception of what would, or could happen when in a dark environment. It can also be temporarily triggered if the mind is unsteady or scared about recent events or ideas, or a partaking in content the brain considers a threat (examples could include indulging in horror content, witnessing vulgar actions, or having linked dark environments to prior events or ideas that disturb the mind). Normally, since humans are not nocturnal by nature, humans are usually a bit more cautious or alert at night than in the day, since the dark is a vastly different environment. Nyctophobia produces symptoms beyond the normal instinctive parameters, such as breathlessness, excessive sweating, nausea, dry mouth, feeling sick, shaking, heart palpitations, inability to speak or think clearly or sensation of detachment from reality and death. Nyctophobia can be severely detrimental physically and mentally if these symptoms are not resolved. There are many types of therapies to help manage Nyctophobia. Exposure therapy can be very effective when exposing the person to darkness. With this method a therapist can help with relaxation strategies such as meditation. Another form of therapy is Cognitive Behavioral Therapy. Therapists can help guide patients with behavior routines that are performed daily and nightly to reduce the symptoms associated with Nyctophobia. In severe cases anti-depressants and anti-anxiety medication drugs can be effective to those dealing with symptoms that may not be manageable if therapy could not reduce the symptoms of Nyctophobia.
Despite its pervasive nature, there has been a lack of etiological research on the subject. Nyctophobia is generally observed in children but, according to J. Adrian Williams’ article titled, "Indirect Hypnotic Therapy of Nyctophobia: A Case Report", many clinics with pediatric patients have a great chance of having adults who have nyctophobia. The same article states that “the phobia has been known to be extremely disruptive to adult patients and… incapacitating”.
The word "nyctophobia" comes from the Greek νυκτός, "nyktos", genitive of νύξ, "nyx", "night" and φόβος, "phobos", "fear". The fear of darkness or night has several non-clinical terminologies—"lygophobia", "scotophobia" and "achluophobia".
As is common with specific phobias, an occasional fright may give rise to abnormal anxiety that requires treatment. An abnormal fear of bats may be treated by any standard treatment for specific phobias. Due to the fact that the fear is not life altering, it can usually just be left untreated.
Also noted in the emetophobia internet survey was information about medications. People were asked whether they would consider taking anxiety medication to potentially help their fear, and many in the study answered they wouldn't for fear that the drugs would make them nauseated. Others, however, stated that some psychotropic medications (such as benzodiazepines and antidepressants) did help with their phobia, and some said gastrointestinal medications were also beneficial.
Ichthyophobia is described in "Psychology: An International Perspective" as an "unusual" specific phobia. Both symptoms and remedies of ichthyophobia are common to most specific phobias.
John B. Watson, a renowned name of behaviorism, describes an example, quoted in many books in psychology, of conditioned fear of a goldfish in an infant and a way of unconditioning of the fear by what is called now graduated exposure therapy:
In contrast, radical exposure therapy was used successfully to cure a man with a "life affecting" fish phobia on the 2007 documentary series, "The Panic Room".
Fear of fish or ichthyophobia ranges from cultural phenomena such as fear of eating fish, fear of touching raw fish, or fear of dead fish, up to irrational fear (specific phobia). Galeophobia is the fear specifically of sharks.
Coping strategies may consist of planning the conversation ahead of time and rehearsing, writing or noting down what needs to be said. This may be helped by having privacy in which to make a call.
Associated avoidance behavior may include asking others (e.g. relatives at home) to take phone calls and exclusively using answering machines. The rise in the use of electronic text-based communication (the Internet, email and text messaging) has given many sufferers alternative means of communication that they tend to find considerably less stressful than the phone. However, some individuals experience "textphobia", a fear or anxiety of texting or messaging, and also avoid those forms of communication.
Sufferers may find it helpful to explain the nature of the phobia to friends, so that a failure to respond to messages is not misinterpreted as rudeness or an unwillingness to communicate.
Fear of surgery or other invasive medical procedure may be known as tomophobia. Fear of surgery is not a fear experienced often, but is still just as harmful as those that are more common. Since surgery is not a common occurrence, the fear is more based on inexperience or something that is out of the ordinary. This fear is one of those categorized under all fears of medical procedures that can be experienced by anyone, all ages, and have little need for actual psychological treatment, unless it is uncharacteristically causing the patient to react in a way that would be harmful to his or her health.
Treatments for dental fear often include a combination of behavioral and pharmacological techniques. Specialized dental fear clinics use both psychologists and dentists to help people learn to manage and decrease their fear of dental treatment. The goal of these clinics is to provide individuals with the fear management skills necessary for them to receive regular dental care with a minimum of fear or anxiety. While specialized clinics exist to help individuals manage and overcome their fear of dentistry, they are rare. Many dental providers outside of such clinics use similar behavioral and cognitive strategies to help patients reduce their fear.
Many people who suffer from dental fear may be successfully treated with a combination of "look, see, do" and gentle dentistry. People fear what they don't understand and they also, logically, dislike pain. If someone has had one or more painful past experiences in a dental office then their fear is completely rational and they should be treated supportively. Non-graphic photographs taken pre-operatively, intra-operatively and post-operatively can explain the needed dentistry. Pharmacologic management may include an anxiety-reducing medication taken in a pill, intravenously and/or using Nitrous Oxide (laughing) gas. Most importantly is the need to provide an injection of anesthetic extremely gently. Certain parts of the mouth are much more sensitive than other parts; therefore it is possible to provide local anesthesia (a "novocaine" shot) in the less sensitive area first and then moving the injection within the zone of just-anesthetized tissue to the more sensitive area of the mouth. This is one example of how a dentist can dramatically reduce the sensation of pain from a "shot." Another idea is to allow the novocaine time (5 – 15 minutes) to anesthetize the area before beginning dental treatment.
Pharmacological techniques to manage dental fear range from mild sedation to general anesthesia, and are often used by dentists in conjunction with behavioral techniques. One common anxiety-reducing medication used in dentistry is nitrous oxide (also known as "laughing gas"), which is inhaled through a mask worn on the nose and causes feelings of relaxation and dissociation. Dentists may prescribe an oral sedative, such as a benzodiazepine like temazepam (Restoril), alprazolam (Xanax), diazepam (Valium), or triazolam (Halcion). Triazolam (Halcion) is not available in the UK. While these sedatives may help people feel calmer and sometimes drowsy during dental treatment, patients are still conscious and able to communicate with the dental staff. Intravenous sedation uses benzodiazepines administered directly intravenously into a patient's arm or hand. Intravenous sedation is often referred to as "conscious sedation" as opposed to general anesthesia (GA). In IV sedation, patients breathe on their own while their breathing and heart rate are monitored and are still responsive to a dentist's prompts. Under a general anesthetic, patients are more deeply sedated and unable to breathe on their own and are not responsive to verbal or physical prompts.
Fear of bees (or of bee stings), technically known as melissophobia (from , "melissa", "honey bee" + , "phobos", "fear") and occasionally misspelled as melissaphobia and also known as apiphobia (from Latin "apis" for "honey bee" + "", "phobos", "fear"), is one of the common fears among people and is a kind of specific phobia.
Most people have been stung by a bee or had friends or family members stung. A child may fall victim by treading on a bee while playing outside. The sting can be quite painful and in some individuals results in swelling which may last for several days, and can also provoke allergic reactions such as anaphylaxis, so the development of loathsome fear of bees is quite natural.
Ordinary (non-phobic) fear of bees in adults is generally associated with lack of knowledge. The general public is not aware that bees attack in defense of their hive, or when accidentally squashed, and an occasional bee in a field presents no danger. Moreover, the majority of insect stings in the United States are attributed to yellowjacket wasps, which are often mistaken for a honeybee.
Unreasonable fear of bees in humans may also have a detrimental effect on ecology. Bees are important pollinators, and when, in their fear, people destroy wild colonies of bees, they contribute to environmental damage and may also be the cause of the disappearing bees.
The renting of bee colonies for pollination of crops is the primary source of income for beekeepers in the US, but as the fears of bees spread, it becomes hard to find a location for the colonies because of the growing objections of local population.
Myrmecophobia is the inexplicable fear of ants. It is a type of specific phobia. It is common for those who suffer from myrmecophobia to also have a wider fear of insects in general. Such a condition is known as entomophobia. This fear can manifest itself in several ways, such as a fear of ants contaminating a person's food supply, or fear of a home invasion by large numbers of ants.
The term "myrmecophobia" comes from the Greek , "myrmex", meaning "ant" and , "phóbos", "fear".
Fear of bats, sometimes called chiroptophobia (from the Greek χείρ - "cheir", "hand" and πτερόν - "pteron", "wing" referring to the order of the bats, and φόβος - "phobos", meaning "fear"), is a specific phobia associated with bats and to common negative stereotypes and fear of bats.
Fear of the dark is usually not a fear of darkness itself, but a fear of possible or imagined dangers concealed by darkness. Some degree of fear of the dark is natural, especially as a phase of child development. Most observers report that fear of the dark seldom appears before the age of 2 years. When fear of the dark reaches a degree that is severe enough to be considered pathological, it is sometimes called scotophobia (from σκότος – "darkness"), or lygophobia (from λυγή – "twilight").
Some researchers, beginning with Sigmund Freud, consider the fear of the dark to be a manifestation of separation anxiety disorder.
An alternate theory was posited in the 1960s, when scientists conducted experiments in a search for molecules responsible for memory. In one experiment, rats, normally nocturnal animals, were conditioned to fear the dark and a substance called "scotophobin" was supposedly extracted from the rats' brains; this substance was claimed to be responsible for remembering this fear. These findings were subsequently debunked.