Treatment FAQ

what is waitlist treatment for phobias

by Marjorie Osinski Published 2 years ago Updated 2 years ago
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How do psychiatrists treat phobias?

Therapy. By “unlearning” the response and substituting rational reactions, the phobia can be cured. This model favors therapy as a preferred treatment. Many phobia sufferers are best treated with a combination of medication and therapy. Most psychiatrists do not perform the types of therapy best suited to phobia treatment.

What is the first-line treatment for phobias?

Cognitive behavioral therapy will usually be recommended as the first-line treatment. Specifically, exposure-based CBT is an effective treatment for anxiety disorders such as specific phobia. Exposure therapy involves being exposed to the object or situation that triggers the phobia.

What is the best medication for phobias?

1 Antidepressants. There are two classes of antidepressant medications that are sometimes used to treat phobias: selective serotonin reuptake inhibitors (SSRIs) and monoamine oxidase inhibitors (MAOIs). 2 Benzodiazepines. ... 3 Beta Blockers. ...

How is CBT used to treat phobias?

When CBT is used to treat phobias, it can include a range of techniques, including exposure therapy (or desensitisation). See our CBT section for further details. You may be offered a programme of CBT using a workbook or a computer, which you can follow either by yourself or in addition to sessions with a therapist.

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What is wait list treatment?

a group of research participants who receive the same intervention or treatment as those in the experimental group but at a later time.

When do you use waitlist control?

Wait list control groups are often used when it would be unethical to deny participants access to treatment, provided the wait is still shorter than that for routine services.

What is a waitlist study?

In an experiment, people are randomly selected to be in the wait list group. They also closely resemble the participants who are in the experimental group (or the individuals who receive the treatment).

What is tau treatment as usual?

Treatment-As-Usual (TAU) means that the usual treatment — according to accepted standards for your particular discipline — is given to a group of participants. For example, psychiatric TAU might include psychotherapy, medication, or a combination of the two (Blais et. al, 2013).

What does the wait list mean?

a list of people who have asked for something, especially a place at a college or in a class, or a ticket for something, that is not immediately available but may be in the future: In the Washington area 1,520 people are on the wait list for a new kidney.

What are the advantages of using waiting list?

Take your time: “Being on the waiting list allows you the freedom to explore your options at your own pace, without time constraints or pressure to make a decision,” says McMenamin. You can use the time you are on the waiting list to think through what's important to you and to put other parts of your plan in place.

What is a delayed treatment design?

The delayed-start design includes two treatment periods, where in period 1, patients are randomized to receive an active treatment or placebo, and in period 2, placebo patients are switched to the active treatment while patients in the active treatment arm will continue the same treatment.

What is a no treatment control group?

a control group whose members are not exposed to any experimental manipulation or intervention, thus serving as a neutral comparison for study groups receiving the treatment under investigation.

What does intention to treat mean in research?

Intention-to-treat analysis is a method for analyzing results in a prospective randomized study where all participants who are randomized are included in the statistical analysis and analyzed according to the group they were originally assigned, regardless of what treatment (if any) they received.

What is tau of the brain?

Tau is a protein that helps stabilize the internal skeleton of nerve cells (neurons) in the brain. This internal skeleton has a tube-like shape through which nutrients and other essential substances travel to reach different parts of the neuron.

What is treatment as usual for BPD?

Borderline personality disorder is mainly treated using psychotherapy, but medication may be added. Your doctor also may recommend hospitalization if your safety is at risk. Treatment can help you learn skills to manage and cope with your condition.

Is treatment as usual a control group?

Treatment as usual (TAU) control groups are used to compare experimental interventions to treatments that are already used in clinical practice. The term “treatment as usual” seems to imply that most patients with the target problem ordinarily receive a particular treatment, but this is not always the case.

What is the first line of treatment for phobias?

The first-line treatment for specific phobia is exposure therapy . Prescription medications are not considered to be effective as the only treatment. But antidepressants, anti-anxiety medications, and beta blockers might be used in addition to therapy or to treat comorbid conditions.

What is the best medication for anxiety?

Anti-anxiety medication can help rapidly reduce the symptoms of anxiety and panic attacks. The most common of these are called benzodiazepines, which are a type of sedative. These include Klonopin (clonazepam), Valium (diazepam), and Ativan (lorazepam) .

What is the best herbal medicine for anxiety?

The most widely studied herbal medication in relation to anxiety disorders is a compound called kava. This comes from the kava kava plant, which is a member of the pepper family.

Can you avoid phobias?

While avoidance can be useful for some with specific phobia, it can be damaging if it involves changing your life dramatically. Seeking treatment from a medical professional may help you live a healthier and less restrictive life.

Can medications be used for phobias?

As mentioned above, it is believed that medications by themselves are of limited use in the treatment of specific phobias. But there have been investigations into whether some medications might be effective at enhancing therapy treatment of specific phobias when taken alongside, before, or after exposure therapy.

What are the best treatments for phobias?

These should be included in your options: talking treatments. medication.

What is the best medication for phobias?

There are currently three types of drugs considered useful in managing anxiety: Antidepressants. Tranquillisers. Beta-blockers. These are only available through your GP, not over the counter.

What tranquillisers are used for anxiety?

Tranquillisers. To reduce severe anxiety, a benzodiazepine tranquilliser may be offered. Severe anxiety means it has a significant impact on your day-to-day life. The tranquilliser you may be offered might be called diazepam, or Valium.

What is CBT therapy?

Cognitive behavioural therapy (CBT) aims to: identify connections between thoughts, feelings and behaviour. help develop practical skills to manage any patterns that are causing you problems. CBT can include a range of techniques when used to treat phobias. It may include exposure therapy (known as desensitisation).

What to do if SSRIs don't work?

If SSRIs don't work or aren't suitable, you may be offered alternative medication. For social phobia, you may be offered a reversible monoamine oxidase inhibitor (MAOI) antidepressant. It may be called moclobemide, or Manerix. Some foods can have a dangerous reaction with MAOI antidepressants.

What is talking treatment?

During a talking treatment, you'll talk to a professional about your thoughts, feelings and behaviour. Your doctor or mental health professional can explain the options available to you. They can help you find the right talking treatment. Unfortunately, there is often a long waiting list for NHS talking treatments.

Can a phobia prevent you from seeking help?

If your phobia prevents you from seeking help. It can sometimes be very difficult to seek help for a phobia. Especially if your triggers include doctors, medical settings, phone calls or leaving the house. If seeking help involves the situation or object you fear, try some of the ideas below:

What is the best treatment for phobias?

Exposure therapy is the gold standard for treating phobias. Many people have also had success with cognitive behavioral therapy, which aims to replace cognitive distortions with realistic ideas about what scares you. If you’ve ever experienced a phobia, you probably already know that the terror you feel isn’t rational.

How to help someone with phobias?

It may be a good idea to work with a therapist to learn mindfulness techniques. Practicing them often on your own as well can help you use them when you’re face-to-face with a phobia. Here are some mindfulness techniques that may be helpful: meditation. deep breathing.

How to reduce anxiety and phobias?

Mindfulness training. Mindfulness techniques can help reduce the level of stress you feel. This technique may not stop the initial rush of anxiety a phobia can release, but mindfulness training may help you lessen the severity of the fear. It may be a good idea to work with a therapist to learn mindfulness techniques.

What is CBT therapy?

Cognitive behavioral therapy (CBT) often incorporates the same systematic desensitization methods used in exposure therapy. CBT also focuses on the specific thoughts and beliefs you have associated with the phobias.

How to calm a phobia?

Once you’re equipped to calm yourself when under stress, you and your therapist can build a hierarchy of experiences related to your phobias. Include the least scary ones at the bottom and the biggest fears at the top. Exposure therapy is a way of gradually bringing you closer to something you fear.

How do you know if you need therapy for a phobia?

How to know when you need therapy for a phobia. Lots of people have an unconventional fear or two. Spiders may give you the heebie-jeebies. Your chest may tighten as the airplane you’re on taxis along the runway. Sometimes, being confronted with these fears brings on a barrage of anxiety symptoms like: sweaty palms.

What is a phobia?

SDI Productions/Getty Images. A phobia is a strong but irrational fear of something specific — usually an object, a situation, a person, or an experience. Having a phobia is not uncommon: According to the National Institute of Mental Health, an estimated 12.5 percent of U.S. adults will experience a phobia at some point in their lifetimes. ...

What is the best treatment for anxiety?

Hypnosis is regarded as one of the most useful treatment plans for anxiety disorders and phobias. Practiced only by certified and trained hypnotists, this technique allows you to relax enough that you finally become free from distractions that may have overwhelmed you.

What is CBT therapy?

CBT is a type of therapy that allows you to change the way you think or behave. By helping you develop practical ways to manage your phobia, CBT treatment often uses simple methods to de-sensitive you to your problem.

What is the best therapy for phobias?

Many therapeutic approaches to phobia treatment involve slowly exposing a person to the thing they fear and addressing underlying beliefs that may be contributing to the phobia. Exposure therapy , also known as systematic desensitization, has been shown to be an effective phobia treatment method.

How to deal with a phobia?

It it often the case that the object of a phobia might present itself without warning. In these instances, there may not be time for a person to seek professional help, and it may be necessary for them to use relaxation techniques in order to cope and avoid escalating their fear response. Coping strategies people may use when forced to expose themselves to a phobia include: 1 Focusing on or slowing down breathing. 2 Learn about your phobia. Sometimes, education about the object of a phobia may help slow down the fear response associated with it. 3 Progressive muscle relaxation. Practice tensing up and relaxing different muscle groups, focusing all attention on that activity.

How to overcome a phobia?

Hypnotherapy may help some manage and overcome a phobia. Most often led by a therapist, hypnotherapy involves taking the person with a phobia through the process of guided visualization. They may imagine they are encountering the object of their phobia and then practice self-soothing techniques. Eye movement and desensitization ...

What is Claudia's phobia of hot water?

Addressing phobia of hot water in therapy: Claudia, 23, enters therapy, reporting an extreme fear of being burned by hot water. Her phobia is such that she experiences extreme anxiety when showering, doing dishes, or washing her hands because she worries the water will suddenly become hotter and burn her.

What is content vs phobia?

Contents v. Phobias. Treatment for Phobias. Types of Phobias. A phobia is a fear related to certain objects or situations. When a phobia is so severe that it interferes with a person’s ability to function, a therapist or other mental health professional may be able to help them address and explore ways to overcome fear, anxiety, ...

Can phobias present themselves without warning?

It it often the case that the object of a phobia might present itself without warning. In these instances, there may not be time for a person to seek professional help, and it may be necessary for them to use relaxation techniques in order to cope and avoid escalating their fear response.

Does Claudia remember her phobia?

The therapist asks Claudia if she remembers when the phobia began, but she cannot tell him. It takes some time in therapy, but eventually Claudia is able to recall several instances from early childhood—the memories of which she had buried—of her mother punishing her by holding her hands under running water.

How to help phobias?

Talking treatments. Talking treatments, such as counselling, are often very effective at treating phobias. In particular, cognitive behavioural therapy (CBT) and mindfulness have been found to be very effective for treating phobias.

What is CBT for phobias?

This is known as desensitisation or exposure therapy.

What is CBT therapy?

Cognitive behavioural therapy (CBT) CBT is a type of counselling that can help you manage your problems by changing the way you think and behave. It can be used to develop practical ways of dealing with your phobia.

What is the name of the drug that is used to treat phobias?

Clomipramine (Anafranil) is a type of tricyclic antidepressant (TCA) that's licensed to treat phobias. Side effects include: Moclobemide (Manerix) is a type of antidepressant from the monoamine oxidase inhibitor (MAOI) group of antidepressants. It's sometimes prescribed to treat social phobia.

What is the best medication for anxiety?

Selective serotonin reuptake inhibitors (SSRIs) are most often prescribed to treat anxiety, social phobia or panic disorder. These can include: Venlafaxine (Efexor), a serotonin and noradrenaline reuptake inhibitor (SNRI) may also be prescribed for anxiety. Common side effects of these treatments include:

Can you avoid flying phobias?

However, it may not always be possible to avoid certain phobias, such as a fear of flying. In this instance, you may decide to get professional help and advice to find out about treatment options.

Can you take medication for phobias?

Medication isn't usually recommended for treating phobias, because talking therapies are usually effective and don't have any side effects. However, medication is sometimes prescribed on a short-term basis to treat the effects of phobias, such as anxiety.

1. When you are put on a waitlist, let the scheduler know you want to start therapy as soon as possible

Ask them to call you if a cancellation comes up. You should also call the clinic every month or so to ask how much longer you need to wait. This can help you know what to expect but also lets the scheduler know that you are still very interested in their services.

2. Get on waitlists at more than one agency or clinic

Even if you found exactly what you’re looking for in a therapy provider, it’s a good idea to get on as many waitlists as you can. Although the waitlist you’re on might move faster than expected, it could also move slower. By getting on multiple waitlists, you can accept the soonest appointment you are offered.

3. Find other ways to take care of your mental health

It’s hard to be told to wait when you know that you need help. It’s common to feel frustrated, disappointed, and stuck. Here are some other ways to take care of your mental health while you wait:

Why do waitlist control groups suck?

Waitlist control groups were conceived by researchers as a cost-effective and ethical alternative control group when primarily studying psychotherapy interventions. That’s because providing a sham psychotherapy treatment is unethical — psychologists can’t knowingly provide you a treatment ...

Why are wait list groups not untreated?

Wait-list groups really are not untreated because they are contacted, consented, randomized, diagnosed, and measured.”. The problem comes with psychotherapy research that uses a wait-list control group to demonstrate that the treatment is more effective than simply time alone.

Is sitting with a participant a therapist?

It wouldn’t be therapy, because the person sitting with the participant isn’t a therapist and has no specific training in therapy . Maybe they’re a paid undergraduate student research assistant or a nurse practitioner (not a psychiatric nurse practitioner). Maybe instead of 50 minutes, they’re given only 20 minutes.

Is there a pill for psychotherapy?

In psychotherapy research, there is no pill. So a long time ago, some researchers developed what they believed to be a similar control group as those receiving a placebo — the waitlist control group.

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Therapies

Prescription Medications

Self-treatment: Self- care steps that may be helpful in some less- serious cases:
  • Slow down breathing if you are having a phobic attack
  • Practice relaxation techniques
  • Get adequate sleep
  • Avoid caffeine and other stimulants
  • Challenge negative thoughts about your phobia
See a doctor if you notice:
  • Any type of phobia
  • Distress and disturbance in normal routine

See a doctor immediately if you notice:
  • Intense and disabling fear
  • Loss of consciousness

Adjunctive Treatment

Alternative Treatments

Summary

A Word from Verywell

  • Many phobia sufferers are best treated with a combination of medication and therapy. Most psychiatrists do not perform the types of therapy best suited to phobia treatment. Therefore, psychiatrists and therapists often form referral networks to help clients meet both needs. Mental health centers often have a range of mental health specialists on st...
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