The definition of pathological fear6/5/2023 These options are as effective as SSRIs, and doctors also consider them as first-line treatments. Serotonin and norepinephrine reuptake inhibitors: Include venlafaxine and duloxetine.Doctors consider these as medications of choice for anxiety. Selective serotonin reuptake inhibitors (SSRIs): Include fluoxetine, sertraline, paroxetine, escitalopram, and citalopram.Medicationĭoctors may recommend the following medications for pathological anxiety: These may include self-assessment questionnaires, interviews with therapists, and various clinical scales such as the Generalised Anxiety Disorder Assessment-7 and the Severity Measure for Panic Disorder.ĭoctors typically treat anxiety problems with medication, psychotherapy, or a combination of the two. The doctor may also use specialized mental health tests to help them diagnose the individual. The doctor may then order laboratory tests such as:ĭepending on the results of these tests, a doctor may recommend further evaluations, including: They may begin with a complete physical exam and thorough medical history to help rule out any other medical disorders that could cause the individual symptoms. doi:10.Because pathological anxiety can manifest in various ways and other factors, such as illness, can cause it, a doctor may use various assessments to help them diagnose the condition. Comparing internet-based cognitive behavioral therapy with standard care for women with fear of birth: randomized controlled trial. A longitudinal survey of childbirth-related fear and associated factors. Hildingsson, I, Nilsson, C, Karlstrom, A, & Lundgren, I. Effectiveness of trauma-focused psychological therapies for treating post-traumatic stress disorder symptoms in women following childbirth: A systematic review and meta-analysis. doi:10.1136/bmj.k3933įuruta M, Horsch A, Ng ESW, Bick D, Spain D, Sin J. Presence and process of fear of birth during pregnancy-Findings from a longitudinal cohort study. Hildingsson I, Haines H, Karlström A, Nystedt A. Worldwide prevalence of tocophobia in pregnant women: systematic review and meta-analysis. O'connell MA, Leahy-warren P, Khashan AS, Kenny LC, O'neill SM. Anxiety disorders among women: A female lifespan approach. However, it can also occur in women who had normal, non-traumatic births, as well as women who have experienced miscarriage, stillbirth, pregnancy termination, or failed fertility treatments.īhatia MS, Jhanjee A. It is often the result of traumatic labor and birth. Secondary tokophobia occurs in women who have previously experienced pregnancy and birth. Medical exams during pregnancy and childbirth may also trigger flashbacks of the original trauma. It may also be seen in girls and women who have been sexually assaulted or raped. It may begin during adolescence, although it can also occur after a woman has become pregnant. Primary tokophobia occurs in women who have never experienced birth. When fear of childbirth Is pathological: The fear continuum. Poggi, L, Goutaudier, N, Sejourne, N, & Chabrol, H.
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