A person with astraphobia will often feel anxious during a thunderstorm even when they understand that the threat to them is minimal. Some symptoms are those accompanied with many phobias, such as trembling, crying, sweating, panicked reactions, the sudden feeling of using the bathroom, nausea, the feeling of dread, fingers in the ears and rapid heartbeat. However, there are some reactions that are unique to astraphobia. For instance, reassurance from other people is usually sought, and symptoms worsen when alone. Many people who have astraphobia will look for extra shelter from the storm. They might hide underneath a bed, under the covers, in a closet, in a basement, or any other space where they feel safer. Efforts are usually made to smother the sound of the thunder; the person may cover their ears or curtain the windows.

A sign that someone has astraphobia is a very heightened interest in weather forecasts. An astraphobic person will be alert for news of incoming storms. They may watch the weather on television constantly during rainy bouts and may even track thunderstorms online. This can become severe enough that the person may not go outside without checking the weather first. In very extreme cases, astraphobia can lead to agoraphobia, the fear of leaving the home.

Astraphobia, also known as astrapophobia, brontophobia, keraunophobia, or tonitrophobia is an abnormal fear of thunder and lightning, a type of specific phobia. It is a treatable phobia that both humans and animals can develop. The term astraphobia is composed of the words ἀστραπή (astrape; lightning) and φόβος (phobos; fear).

Mental and emotional symptoms of lilapsophobia include

- Obsessive thoughts

- Difficulty thinking

- Feeling of unreality or being detached

- Fear of losing control or going crazy

- Anticipatory anxiety

- Terror

- Desire to flee or hide

Physical symptoms of lilapsophobia include

- Dizziness, shaking, palpitations, lightheaded, or faint

- Shortness of breath

- Accelerated heartbeat

- Chest pain or discomfort

- Shaking

- Feeling of choking

- Sweating

- Nausea

- Numbness or tingling sensations

Many lilapsophobes also suffer autophobia, fear of being alone. Sufferers often make arrangements with people they know to help soothe the fear.

Like many phobias, lilapsophobia is caused by an unwanted experience, specifically tornadoes or hurricanes that cause injuries, destruction, or loss of loved ones to self or others they know. People who survive those storms should seek professional advice, especially to determine if a person is suffering post-traumatic stress disorder. This phobia can even be caused by learning news about tornadoes or hurricanes using the media, like television, internet, radio, or newspaper, even though they happened far away from homes.

If a person learns that someone in the family has the phobia, then that person is more likely to suffer from it.

A specific phobia is any kind of anxiety disorder that amounts to an unreasonable or irrational fear related to exposure to specific objects or situations. As a result, the affected person tends to avoid contact with the objects or situations and, in severe cases, any mention or depiction of them. The fear can, in fact, be disabling to their daily lives.

The fear or anxiety may be triggered both by the presence and the anticipation of the specific object or situation. A person who encounters that of which they are phobic will often show signs of fear or express discomfort. In some cases, it can result in a panic attack. In most adults, the person may logically know the fear is unreasonable but still find it difficult to control the anxiety. Thus, this condition may significantly impair the person's functioning and even physical health.

Specific phobia affects up to 12% of people at some point in their life.

Main features of diagnostic criteria for specific phobia in the DSM-IV-TR:

- Marked and persistent fear that is excessive or unreasonable, cued by the presence or anticipation of a specific object or situation (e.g., flying, heights, animals, receiving an injection, seeing blood).

- Exposure to the phobic stimulus almost invariably provokes an immediate anxiety response, which may take the form of a situationally bound or situationally predisposed panic attack. In children, the anxiety may be expressed by crying, tantrums, freezing, or clinging.

- The person recognizes that the fear is excessive or unreasonable. In children, this feature may be absent.

- The phobic situation(s) is avoided or else is endured with intense anxiety or distress.

Specific Phobia – DSM 5 Criteria

- Fear or anxiety about a specific object or situation (In children fear/anxiety can be expressed by crying, tantrums, freezing, or clinging)

- The phobic object or situation almost always provokes immediate fear or anxiety

- The phobic object or situation is avoided or endured with intense fear or anxiety

- The fear or anxiety is out of proportion to the actual danger posed by the specific object or situation and to the sociocultural context

- The fear, anxiety, or avoidance is persistent, typically lasting for 6 months or more

- The fear, anxiety, or avoidance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning

- The disturbance is not better explained by symptoms of another mental disorder, including fear, anxiety, and avoidance of situations associated with panic-like symptoms or other incapacitating symptoms; objects or situations related to obsessions; reminders of traumatic events; separation from home or attachment figures; or social situations