-IBIS-1.5.0-
tx
mental/emotional
fear
diagnoses

definition and etiology

definition: Anticipation of misfortune or pain; the state of being afraid; anxiety; reverent awe.

etiology:
• It is thought that humans may be born with only two fears: that of loud noises and that of falling.
• Fear is a learned emotion which comes about through painful experiences.
• May be environmental. When parents live with dread of factors in their lives, such as finances the child can grow to address money situations with the same emotions even when far better equipped to deal with the situation than his/her parents.

signs and symptoms

• emotional discomfort
• insomnia
• worrying, obsessing
• lack of enthusiasm for projects usually enjoyed
• diminished healthy aggression in social and business situations; stomach cramps
• muscle tension in face
• impaired digestion
• impaired immunity

course and prognosis

Fear, if felt for long enough, can become attitudinal and cause retarded emotional growth, learning disabilities, and interfere with intimacy.

In alcoholic families, fear of the unknown frequently becomes ingrained and when the child leaves the family system, anticipation and excitement of an impending challenge will be interpreted as fear (from similar physiologic changes) and be perceived as a negative and uncomfortable emotion.

Prognosis is excellent when chronic paralyzing fear is distinguished from anticipatory excitement and can be harnessed and "ridden" rather than overwhelm. Developing awareness and recognition of emotional patterns helps the sufferer to recognize and deal with this emotion when it arises.

differential diagnosis

• worry
• excitement
• somatic conditions associated with fear as a symptom


footnotes