Treatment of specific phobias of clinical procedures in adults
- Yujuan Choy, MD
Yujuan Choy, MD
- Assistant Clinical Professor of Psychiatry (volunteer faculty)
- University of California, Irvine
Acute procedural anxiety is an excessive fear of medical, dental, or surgical procedures resulting in acute distress or interference with completing necessary procedures.
Specific phobias, a subset of presentations of acute procedural anxiety, are diagnosed only when the patient’s fears are specific to the procedure and its immediate effects (rather than, for example, fear of a potentially serious diagnosis or of discomfort during the procedure) . The most prominent specific phobias of clinical procedures are:
●Dental phobia – Experiencing pain during dental treatment
●Blood injection-injury phobia – Seeing blood during venipuncture
●Magnetic resonance imaging claustrophobia – Suffocating during a magnetic resonance imaging scan
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- GENERAL PRINCIPLES
- DENTAL PHOBIA
- Approach to treatment
- - Cognitive-behavioral therapy
- Eye movement desensitization and reprocessing
- - In-vivo exposure therapy
- - Cognitive restructuring
- - Systematic desensitization
- - Coping strategies
- Progressive muscle relaxation
- Applied relaxation
- - Hypnotherapy
- - Nitrous oxide
- - General anesthesia
- - Benzodiazepines
- BLOOD-INJECTION-INJURY PHOBIA
- Applied tension
- Other interventions
- MRI CLAUSTROPHOBIA
- Positional adjustment
- SUMMARY AND RECOMMENDATIONS