• Title/Summary/Keyword: Phobia Treatment

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A New Finding-peripheral Vision Phobia: A Possible Subtype of Social Phobia

  • Jang, Su Hee
    • Journal of Acupuncture Research
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    • v.31 no.1
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    • pp.159-165
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    • 2014
  • Background and objectives : Social phobia is a nervous anxiety characterized by one or more constant fear in social activity or specific situation which causes serious damage to individual's social functions leading to chronic functional impairment when it is untreated. The objective of this study is to report a new finding of a possible subtype of social phobia according to a case survey and study of sufferers found via online support group. Methods : A single case review using survey and interview on patient was employed. Following a no-treatment baseline period for examination and interview, biweekly acupuncture treatment with interview for in-depth examination was delivered for 6months. Also, for in-depth investigation of peripheral vision phobia, survey questionnaire was done by the members of a Korean support group on on-line social group forum. Result : A new type of social phobia which has not yet been reported nor mentioned in any journals, namely called 'peripheral vision phobia' has been identified. Biweekly acupuncture treatment reached a comfort state of mental status on one case of patient with social phobia. Limitation : Due to the shift of environment on patient's part, the termination of the school session at where the phobia occur the most, the reoccurrence of the phobia is yet to be examined. Also, the generalization of the new type of phobia as a subtype only by reviewing one case alone with survey interview of on-line social group has limitation. Conclusion : The result of the case review suggests that 'peripheral vision phobia' is strictly concentrated on malfunctioning of peripheral vision without functional or organic hindrance of pupils or of any parts of eyes including eye muscles due to peripheral vision phobia. PVP is similar to social phobia and it may be a subtype of social phobia, however, since etiology, diagnosis, medical treatment methods are under researched, investigation is yet to be done.

Association between social phobia level and dental fear level of college students (대학생의 사회공포수준과 치과공포수준의 관련성)

  • Bo Young Park;Han A Cho;So Yeong Bang;Min Jeung Oh;Eun Ji Lee;Whan Hui Lee;Jae Min Joung;Mi Sook Yoon
    • Journal of Korean Academy of Dental Administration
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    • v.11 no.1
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    • pp.89-95
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    • 2023
  • Social phobia is a mental disorder that triggers physical reactions, such as cold sweats, headaches, and panic attacks, as a result of anxiety about a particular situation. Individuals with social phobia are thought to be more sensitive to dental anxiety and may have difficulty visiting the dentist as a result. This study aimed to determine the relationship between social phobia and dental fear among college students, who are reported to have a high prevalence of social phobia. A total of 120 survey responses were analyzed. To investigate the variation in dental fear levels based on the level of social phobia, the total social phobia score was divided into two groups: 41 points or more, and 40 points or less. The disparity in dental fear scores was then analyzed using a t-test. The study found that the average score for dental fear was statistically significantly higher in the group with a total social phobia score of 41 points or more compared to the group with a total score of 40 points or less (p<0.05). Furthermore, the group that scored 41 points or higher on the social phobia scale reported experiencing symptoms such as feeling nauseous at the dentist (3.29 points), sweating upon entering the dentist (3.13 points), and feeling afraid when looking at the dentist (3.13 points). The score was high (p<0.05). Therefore, dental patients exhibiting anxiety symptoms require a comfortable treatment environment to alleviate dental fear, and safe, pain-free dental treatment techniques must be employed.

ANESTHETIC MANAGEMENT OF A PATIENT WITH DYSPHAGIA AND DENTAL PHOBIA FOLLOWING TONGUE CANCER SURGERY (설암 수술 후 구강 내 기능장애 및 치과공포증이 생긴 환자의 외래 마취관리 : 증례 보고)

  • Lee, Soo Eon;Seo, Kwang-Suk;Choi, Yoon-Ji;Kim, Hyun-Jeong;Chang, Juhea
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.10 no.2
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    • pp.97-100
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    • 2014
  • We experienced a case of dental treatment under general anesthesia in a 22-year-old female patient with dysphagia and dental phobia following partial glossectomy. She was diagnosed of squamous cell carcinoma of tongue and received surgical, radiation treatment two years ago. We report the experiences of anesthetic management for dental treatment in a patient with dysphagia and dental phobia following partial glossectomy.

A Clinical Report about a Patient Suffering from Social Phobia and Treated by Herbal Medicine with Neurofeedback (생기능자기조절훈련(뉴로피드백)과 한약 치료를 병행한 사회공포증 치험 1예)

  • Lee, Go-Eun;We, Young-Man;Seong, Ju-Won;Kim, Dan-Young;Kang, Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.25 no.2
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    • pp.153-164
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    • 2014
  • Objectives: In this case report, we will show the effectiveness of herbal medicine with neurofeedback treatment on social phobia. Methods: First, we diagnosed the patient by interview and questionnaire as having social phobia and suffering from anxiety, shaking and palpitation in public places and fear to meet new people. Beside, we examined the pattern of brainwaves by QEEG-8 system. Second, we treated the patient by herbal medicine with neurofeedback treatment for 4 months. Then we conducted new assessments by SCL-90-R, BDI, BAI and QEEG-8 system. Results: The patient's psychological and physiological symptoms were significantly improved. Conclusions: Herbal medicine with neurofeedback can be effective in the treatment of social phobia. Especially, it can be helpful to improve the patient's sensitivity to its physiological symptoms.

A case of clomipramine and alprazolam on behavioral modification for the treatment of storm phobia in a Maltese (말티즈에서 폭풍공포증 치료를 위한 클로미프라민, 알프라졸람의 투여가 행동 수정에 미치는 임상 1례)

  • Sei-Myoung Han;Jae-Hyeon Cho;Chung-Hui Kim
    • Korean Journal of Veterinary Service
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    • v.46 no.2
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    • pp.167-173
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    • 2023
  • An 8-year-old female neutered Maltese dog exhibited signs of serious thunderstorm phobia including panting, wandering, shivering, hiding, crying or whining, or trying to escape from the house. In this study, we administered clomipramine and alprazolam and observed behavioral improvement for 3 years. Clinical symptoms measured according to the storm phobia assessment (SPA) were significantly high with an initial total score of 19 points. However, it improved to a total score of 8 on day 176 after drugs administration and returned to the normal level with the total score of 5 points on the 983 days. When the symptoms for the first 4 treatments and the last 4 treatments were compared in 2 groups, the total score of all clinical symptoms decreased to -62.83% in the last 4 treatments. This study found that treatment with alprazolam and clomipramine was associated with a decrease in clinical signs of storm anxiety, suggesting that two drugs would be effective in reducing symptoms caused by anxiety, thunderstorm phobia, and noise phobia. In this follow up study, we hope that more studies would be conducted on behavior modification for treatment of storm phobia in veterinary medicine.

Minimal sedation using oral sedatives for multi-visit dental treatment in an adult patient with dental phobia

  • Song, Seung-Rye;You, Tae Min
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.4
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    • pp.369-376
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    • 2021
  • In adult patients with dental phobia, dental treatment may be difficult, or may not be possible. Depending on the level of fear or anxiety, non-pharmacological or pharmacological behavior management techniques are used in the dental treatment of such patients. Among the pharmacological behavior management techniques, minimal sedation, that is, the lowest depth of sedation, can be easily obtained in adult patients using oral sedatives, does not require special equipment or tools, and does not affect ventilatory and cardiovascular function. Diazepam is an anxiolytic drug belonging to the benzodiazepine family that, in addition to relieving anxiety, produces muscle relaxation, and is a representative drug used in adult patients with fear of dental treatment. Herein, we report the case of a 50-year-old woman with severe dental fear who successfully underwent long-term dental treatment in approximately 20 visits with minimal sedation using oral diazepam. In addition, we reviewed the considerations for the use of benzodiazepines for minimal sedation.

Eye Movement Desensitization and Reprocessing (EMDR) for Childhood Specific Phobia : A Case Report (소아기 특정 공포증의 EMDR 치료 증례)

  • Bae, Hwal-Lip;Kim, Dae-Ho;Jang, Hee-Soon
    • Anxiety and mood
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    • v.5 no.1
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    • pp.42-47
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    • 2009
  • Recently, Eye Movement Desensitization and Reprocessing (EMDR) was given the status of an approved form of psychotherapy for the treatment of post-traumatic stress disorder. However, its effectiveness in the treatment of other anxiety disorders such as phobia is yet to be determined given that controlled studies have provided mixed results. This report summarizes the case of a child with a specific phobia (i.e. nighttime fear) which was successfully treated with two sessions of EMDR. This result suggests the further and thorough evaluation of this technique for use in childhood phobic disorders.

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A Case of Cognitive & Behavioral Therapy and Oriental Medical Treatment On Social Phobia (한방치료와 인지행동 치료를 병행한 사회공포증 1례(例)에 대한 임상보고)

  • Choi, Bo-Yun;Jung, In-Chul;Lee, Sang-Ryong
    • Journal of Oriental Neuropsychiatry
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    • v.15 no.2
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    • pp.191-201
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    • 2004
  • The purpose of this study was to evaluate the effects and limitations of cognitive & behavioral therapy that applied to the social phobia. In this case, a female patient, 25 old, who had been treated distantly by her friends, was trained to catch her dysfunctional belief and maladaptive automatic thoughts. In this training, we used homework and counselling for 2months. And we diagnosed her state as SimDamHeoGup(心膽虛怯), so we used acupuncture treatment and herbs, for example HaChulBoShimTang(夏朮補心湯) and GuiBiWonDamTang(歸脾溫膽湯). In result, she could recover social relationship slowly. Conclusionally, cognitive & behavioral therapy can be very effective methods to treat social phobia, because patients with social phobia have maladaptive automatic thoughts, based on dysfunctional beliefs like 'I'm infelicitous' or 'I'm ineffective'.

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An Analysis of Domestic and International VR Technology in Phobia Treatment (가상현실 기술을 이용한 공포증 치료의 국내외 동향 분석)

  • Kim, Seul-ki;Suk, Hae-jung
    • Cartoon and Animation Studies
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    • s.41
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    • pp.307-336
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    • 2015
  • Virtual reality technology is one of the important technologies that will affect our life in many ways. This novel technology will draw new paradigm into the medical field due to its advantages in physical safety and environment that are fully controlled. Phobia treatment using VR technology has been implemented and its feasibility has been proved through a number of researches in many institutions. This study has observed the current progress of its technology environment and the trend of research. Also, This study has analyzed the results from domestic and international data. Analysis shows that other countries are ahead of korea in all aspects of the phobia treatment using virtual reality method. Although the authors limited the kinds of journals, the amount of quantity in international researches are two times more than domestics. Also, The researchers in other countries concentrate on the multi-modal studies. To use virtual reality in the phobia treatment, we need to understand the needs of the society members and the government has responsibility to support what the researchers need.

The Development of Virtual Reality Therapy(VRT) System for the Treatment of Acrophobia (고소공포증의 치료를 위한 가상 현실 시뮬레이터의 제작)

  • Paek, Seung-Eun;Ryu, Jong-Hyun;Beack, Seung-Hwa
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.50 no.10
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    • pp.486-493
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    • 2001
  • Acrophobia is an abnormal fear of heights. Medications or cognitive-behavior methods have been mainly used as a treatment. Lately the virtual reality technology has been applied to that kind of anxiety disorders. A virtual environment provides patient with stimuli which arouses phobia, and exposing to that environment makes him having ability to over come the fear. In this study, the elevator stimulator that composed with a position sensor, head mount display, and audio system, is suggested. To illustrate the physiological difference between a person who has a feel of phobia and without phobia, heart rate was measured during experiment. And also measured a person's HR after the virtual reality training and in a real building elevator. In this study, we demonstrated the subjective effectiveness of virtual reality psychotherapy through the clinical experiment.

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