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  • What's going on inside you when you're having a phobic reaction?

  • In your brain the amygdala recognises this is a danger situation.

  • The hypothalamus triggers your fight or flight response.

  • And the hippocampus takes note of your fear.

  • It will remind you next time.

  • Your breathing gets quicker, your pulse speeds up,

  • you sweat, your muscles tense,

  • there's more glucose in your blood, increasing your energy.

  • For most people, the pre-frontal cortex,

  • the rational, uniquely human part of the brain,

  • can calm the amygdala down.

  • But if you have a phobia, that process doesn't quite work.

  • Your brain's constantly stuck in tiger attack mode.

  • The first phobia in history belonged to a man who was absolutely terrified

  • of flute music, but only at night.

  • This was described 2,500 years ago by the Greek father of medicine,

  • but Hippocrates didn't use the word phobia,

  • this came 500 years later when the Roman author Celsus

  • used it to describe a disease.

  • ...which we now know as Rabies.

  • Celsus took the word phobia from the Greek god Phobos,

  • who was so terrifying that warriors would paint his face on their shields

  • to scare their enemies.

  • One of Freud's most famous case studies was a boy called Little Hans

  • who developed a terror of horses

  • after seeing one collapse in the street.

  • Freud thought that this was really an unconscious fear of his father

  • and related to sexual feelings for his mother.

  • Modern psychoanalysts still believe that phobias can be caused

  • by secret internal conflicts like this.

  • Another theory is that at least some fears are innate.

  • One study showed young infants images of spiders and snakes

  • and found that their pupils dilated, a sign of fear.

  • Or intense focus.

  • The theory is that fear of spiders and snakes

  • gave us an evolutionary edge.

  • Around 5% of people have these phobias.

  • And perhaps the same mechanism left us with other common phobias,

  • a fear of heights, darkness, confined spaces,

  • all dangerous when we were evolving.

  • A huge number of phobias have been spotted and named since Little Hans.

  • There's...

  • ...the fear of doctors.

  • ...the fear of beards. And...

  • ...fear of dinner conversation.

  • We may not know the root cause of phobias,

  • but we do know how they develop.

  • You can catch a phobia by seeing other people's fear.

  • You can be taught a phobia,

  • learning about germs can lead to bacillophobia.

  • Or you can get a phobia by having a traumatic experience,

  • especially in childhood.

  • Despite all that, common phobias are quite similar across cultures.

  • But one of the few that's culturally specific is taijin kyofusho,

  • the Japanese phobia of embarrassing other people.

  • All the phobias we've mentioned are classed as...

  • Fear of specific things.

  • But there are two complex phobias.

  • Social phobia is triggered by being around people you don't know,

  • and agoraphobia by being away from home,

  • especially without escape routes.

  • Whilst these are serious conditions,

  • they can be treated with therapy and medication.

  • Simple phobias, despite the suffering they cause,

  • are easier to treat.

  • The NHS recommends Cognitive Behavioural Therapy,

  • with a therapist helping you to gradually get used

  • to whatever it is you fear.

  • So if a phobia's getting you down, why not pop in and see your doctor?

  • Unless of course you're iatrophobic,

  • in which case, it's probably better to have a word with the nurse.

What's going on inside you when you're having a phobic reaction?

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