9-7-21 A phobia is an unreasonable fear taking into account the circumstances. Most persons have fears and anxiety. Reasonable levels of anxiety and fear are actually useful in our daily lives. When the fear and anxiety go beyond reasonable levels and hinder the ability to function effectively, we are then looking at a phobia. Phobias when developed in the person seem to take on a life of their own. It is not unusual for psychologists and physicians to work with persons who have panic attacks resulting from phobias that have the same symptoms as a heart attack. Visits to the HOSPITAL ER are not uncommon. Persons that experience the symptoms are absolutely convinced they could be dying. If not as dramatic, other phobias hinder the ability of persons to function due to a fear of heights, spiders, wasps, open spaces, crowded spaces, driving on the expressway,hyper-cleanliness, food danger, sitting in the backseat of a car, being a passenger in a car, not sitting near an exit, not sitting on the aisle in an airplane, fear of flying, etc. in a really never-ending list of possibilities. Because persons are often embarrassed to admit their phobias, they often are prisoners of them and lead a life where they will do anything they can not confront them. The phobia actually becomes an overriding decision-maker in the person’s actions. I have seen and continue to work with persons who have phobias that negatively impact their ability to function. The most effective strategies to overcome phobias include some combination of the following: 1. EXPOSURE THERAPY/DESENSITIZATION where the person gradually introduces self to the phobia in small doses and eventually is able to overcome it. A common strategy would be to eventually be able to ride on an elevator or fly on a plane by gradual exposure to them. 2. COGNITIVE BEHAVIORAL THERAPY is when a person confronts the problem mentally and works to change the thinking patterns as they attempt to overcome the anxiety and fears resulting from the phobia. 3. MEDICATIONS include beta-blockers, antidepressants, and sedatives like Xanax. 4. DEEP BREATHING to help reduce anxiety and reduce symptoms. 5. FLOODING THE PHOBIA Is when you confront the phobia directly over and over again. Example, if you are fearful of riding an elevator you do it over and over again to reduce the anxiety to the point it is as normal a behavior for you as it would be for the average person. 6.SUPPORT GROUPS online or in-person where a person can get group support. A danger is that members may swap symptoms and the person may not be helped. 7. AN EXPERIENCED THERAPIST who is able to address the behavioral aspects of the phobia. 8.A FAMILY PHYSICIAN OR PSYCHIATRIST to address medication that can be helpful…An important thing to be aware of is that phobias are present in large numbers of persons and they can be very debilitating and lead to persons not living peaceful lives. Because most persons do not understand phobias,they can appear ridiculous and incomprehensible. Because of this, persons often keep their phobias to themselves and do not find release from the emotional pain they experience. The implementation of the strategies above can hopefully help persons overcome their phobias.

Dr Braccio & Dave Akerly discuss SELF-DESTRUCTIVE BEHAVIOR 1320 AM WILS 8-31-21

Simply stated, self-destructive behavior is damaging to the person psychologically, physically, or both. Examples of psychological self-destructive behavior would include debilitating fear, compulsive behaviors like gambling or shopping, extreme sadness, and unhappiness, not being able to relate to other people in a healthy way, eating disorders, PTSD, and phobias. Examples of physical self-destructive behavior would include suicide, substance and alcohol abuse, risky and impulsive sexual behaviors, self-injury, and compulsive behavior resulting in risky physical activities that can lead to death or major injuries. The causes of self-destructive behavior are varied. They would include high anxiety,risk attraction,risk aversion,extreme fear,social isolation,OCD,phobias,PTSD,addiction,low self-esteem, personality disorders, ADHD,emotional abuse,and childhood abuse. One can simply look at the overdose deaths in America and see how such risky behaviors can lead to death for many thousands of persons each year. A more subtle self-destructive behavior is sabotaging yourself in life and not advancing in such areas as work, love, and personal relationships. If you find that you have self-destructive behavior and want to take control over it,the first step is to say you are going to end it and do something to change it. Immediate sources of support would include family, friends, therapists, medical doctors, clergy, and support groups.