Two young people sitting in the grass together.

Phobias

What is a phobia?

A phobia is a strong, overwhelming fear of something that most people wouldn’t see as dangerous. It’s a type of anxiety disorder.

You might have a phobia of a situation, object, place or feeling. Even if you know it’s safe, your phobia can still make you feel panicked or like you need to get away. For example, you might:

  • know it’s safe to stand on a high balcony but still feel terrified to go outside or look out the window
  • know a spider won’t hurt you but still feel overwhelmed with fear when you see one
  • know that going to the shops or getting on a bus is safe, but still feel overwhelmed with fear or panic in busy places

Usually, a phobia is triggered by being exposed to the thing you’re scared of. But you might also feel triggered just thinking or talking about it. Often, people with phobias try to avoid the thing they're scared of completely.

Phobias can be intense. They can stop you doing everyday things, affect your relationships or make you feel like you're not in control. But with the right support, most phobias can be treated successfully. Our guide is here to help you understand what you're going through and find a way forward.

When does a fear become a phobia?

  • Lots of people have fears – that’s completely normal. But a fear might become a phobia if:

    • the fear feels much bigger than the actual danger
    • it lasts for six months or more
    • it starts to affect your daily life

    If this sounds familiar, it could be a good time to speak to your GP and get some support.

A young person smiling at their friends.
I don’t really know where it started but ever since I was young I have had a fear of dogs - big, small, quiet, loud… any dog going. It caused me lots of stress. You don’t realise until you try to avoid them that they are everywhere!
Rebecca, 21

Types of phobia

Phobias can develop around almost anything. Some people have just one phobia. Others might have a few. But there are two main types of phobia: specific phobias and complex phobias.

  • Specific (or simple) phobias

    These are intense fears about a particular object, animal, situation or activity. They often start in childhood or your teenage years. They might become less intense as you get older.

  • Complex phobias

    These tend to be more intense and disruptive than specific phobias. They usually start in adulthood and are often linked to a fear of certain situations where it feels hard to escape or get help.

Examples of specific phobias

Some common types of specific phobia include:

  • Animal phobias

    Like fear of dogs, insects, snakes or rodents.

  • Natural environment phobias

    Like fear of heights, deep water, darkness, storms or germs.

  • Situational phobias

    Like fear of flying, lifts, going to the dentist, tunnels or small spaces (claustrophobia).

  • Body-based phobias

    Like fear of blood, vomit (emetophobia), injections, choking or medical procedures.

  • Sexual phobias

    Like fear of sexual acts or nudity.

  • Other phobias

    Like fear of certain foods, objects or people in costumes.

These are just some examples. Phobias can be about all sorts of things, from clowns or balloons to buttons or mirrors. Your phobia might not be on this list, but that doesn’t mean you don’t deserve support.

Examples of complex phobias

The two most common complex phobias are social phobia and agoraphobia.

If you have social phobia, you might feel an intense fear in social situations and try to avoid them. You could find yourself worrying about a social interaction before, during and after it happens. You might be worried about being judged, saying the wrong thing, or looking anxious in front of others.

Everyday things might feel really difficult, like:

  • starting conversations or speaking in groups
  • meeting new people
  • speaking on the phone
  • eating or drinking in front of others
  • going to school, college or work
  • asking for help or talking to doctors or teachers

This kind of phobia can affect your self-esteem and make it hard to build relationships or feel part of a group. But support is available, and lots of people recover with help.

Agoraphobia is often thought of as a fear of open spaces, but it’s more about feeling anxious in places where it might be hard to escape or get help if something goes wrong.

You might feel anxious about:

  • being outside alone
  • travelling by bus, train, car or plane
  • being in crowds or queues
  • using lifts or being in enclosed spaces like shops

Sometimes, this fear can become so strong that you avoid certain places or stop going out altogether.

A girl with curly hair sits with her hand on her chin thinking, while a boy sits beside her wearing a grey jacket.
I couldn’t understand why I was so scared of food, or why I was convinced that eating certain things would make me sick, and I started to resent myself for feeling this way.
Laura, 21

Symptoms of phobias

Phobias can feel different for everyone. Some people experience mild anxiety, while others might have really intense symptoms that affect their daily life.

In general, a phobia causes strong feelings of fear and anxiety when you’re faced with the object or situation you're scared of. If your phobia is severe, even thinking about it can trigger symptoms.

Phobias can cause a range of physical symptoms, like:

  • feeling dizzy, unsteady or faint
  • a pounding or fast heartbeat (palpitations)
  • chest pain or tightness
  • shortness of breath or a choking feeling
  • sweating or hot/cold flushes
  • nausea, vomiting or needing the toilet
  • trembling or shaking
  • numbness or tingling
  • dry mouth
  • headaches
  • a ringing in your ears

These physical symptoms can sometimes build into a panic attack. This can feel sudden and intense, and it might be frightening, but it isn’t dangerous.

Get more advice on panic attacks

Phobias can also affect how you feel and think. You might experience:

  • a fear of fainting, losing control or dying
  • feelings of dread or panic
  • a sense of being detached from your body or surroundings (known as dissociation)
  • embarrassment, shame or feeling overwhelmed
  • low mood or depression
  • a fear of feeling anxiety itself

Phobias can have a big impact on your mental health and the way you live day-to-day, especially if you experience them regularly. For example, you might:

  • avoid going out, travelling or socialising
  • struggle to go to school, college or work
  • feel isolated or lose confidence
  • worry about panic attacks or feeling out of control

This is especially true for complex phobias like agoraphobia or social phobia, which can affect several areas of your life. But with the right support and treatment, it’s possible to manage your symptoms and feel better.

side view close up of a boy wearing black jacket looking at his phone while sitting on a bench in a park
For so long I had been ‘out of sorts’ and nobody except my parents and best friend knew the extent of my illness. I felt isolated because, on the few occasions when I was able to make it to school, I appeared happy, so my friends thought that I was fine and wasn’t unwell anymore.

Causes of phobias

Phobias don’t always have a clear cause. Some people can point to a specific moment that triggered their fear, while others aren’t sure why it started. But there are a few things that can make someone more likely to develop a phobia.

If something frightening or upsetting happened in the past, it might lead to a phobia. For example:

  • A rough flight as a child could lead to a fear of flying.
  • Being bitten by a dog could lead to a fear of dogs.
  • Experiencing bullying, discrimination or racism could lead to intense fear of something similar happening in the future.

Even if it happened years ago, the memory can still affect how you feel now.

Sometimes phobias develop because of things we see or experience in early life. For example:

  • If a parent or sibling has a phobia, you might develop the same fear by seeing how they react.
  • If you grew up around people who were very anxious or worried, it might affect how you deal with fear and stress as you get older.

If you had a strong reaction to something in the past, like a panic attack, you might start to fear reacting that way again in a similar situation. You might worry about losing control or about how other people responded at the time.

Ongoing stress can affect how you cope with everyday situations. Over time, this can make you feel more fearful or anxious, and that fear can develop into a phobia.

Some people may be more likely to develop phobias because of their genes or how their brain processes fear. You might simply be more sensitive to anxiety than others. That’s okay – everyone’s experiences are different.

Not knowing the cause of your phobia doesn’t make it any less real. And it doesn’t mean you can’t get support. For some people, understanding where a phobia comes from can help. But for others, it’s more helpful to focus on learning how to manage it and feel more in control again. Focus on whatever works for you.

Two people walking and talking on the street.
For most of my time at sixth form, I had a crippling phobia of being there. I was terrified of being in a classroom, of being around more than just my small group of friends and especially of exam halls!
Emily, 22

Self-help strategies for phobias

Self-help can be a really effective way to manage or overcome your phobia. There’s no one-size-fits-all approach and you might need to try a few different things to see what feels right for you. Here are some things you can try:

Taking care of your body can make it easier to manage anxiety in general. Try to:

  • get regular exercise
  • eat regular meals and drink enough water
  • keep to a sleep routine if you can
  • cut back on caffeine, especially before stressful situations or bed

This means slowly and gently facing the thing you're afraid of, one small step at a time. Over time, this can help your fear feel more manageable. For example, if you're scared of dogs, you might start by looking at a photo of a dog, then watching a video, then seeing a dog from a distance.

Go at your own pace. There’s no pressure to rush or push yourself too far and if anything feels overwhelming, it’s okay to stop and take a break.

If you’d prefer more support, a therapist can guide you through a structured version of this approach, called exposure therapy. You can usually access this by speaking to your GP or referring yourself to an NHS talking therapy service.

Learning to calm your body can help you feel more in control. You could try:

  • breathing exercises
  • meditation or mindfulness
  • gentle stretches or yoga
  • listening to calming music or sounds

You might need to try a few techniques before you find what works best for you.

Talking to other people who’ve experienced phobias can help you feel less alone. They might have helpful tips to share too.

You can search for self-help groups on the Triumph Over Phobia UK website. They have groups for anyone experiencing phobias aged 16 and over.

There are free guides and tools that can help you work through your fears. You could start with the NHS phobia self-help guide.

A student wearing uniform sits on a desk lost in a thought with their hand over their mouth, they sit next to another student who is focused on the lesson.
Breathing techniques are subtle, and can distract you from your worries. Breathing to a steady rhythm will make you count, giving you something other than your thoughts to focus on.

Treatment for phobias

Many people with a phobia don’t need treatment. Sometimes avoiding the thing you’re afraid of can be enough to manage it day-to-day. But over time, avoiding it can make the fear feel even stronger and start to affect more parts of your life.

If your phobia is having a big impact on your life, or it’s something that’s hard to avoid, it’s a good idea to speak to your GP. They can help you understand what’s going on and talk you through your treatment options. Most phobias can be treated successfully and getting support can make a big difference.

When you speak to your GP, they might:

  • refer you to a mental health specialist with experience in behavioural therapy
  • suggest self-help strategies or resources
  • offer you medication if your anxiety is very severe

There are a few different types of treatment available for phobias, including:

CBT is a common and effective treatment for many types of phobia. It focuses on how your thoughts, feelings and behaviours are connected. A therapist can help you challenge unhelpful thoughts and find practical ways to manage your fears.

Your GP may be able to refer you for CBT, but you can also refer yourself directly to an NHS talking therapy service in many parts of the UK.

This is often used as part of CBT, especially for specific phobias. It involves gradually and safely facing the thing you’re afraid of, with support from a therapist. Over time, this can help reduce your fear.

For example, if you have a fear of snakes, you might start by reading about them, then looking at pictures, then watching videos, and eventually working towards seeing or being near one in real life.

Exposure therapy only happens with your consent. You’ll never be forced to do something you’re not ready for.

Some people find hypnotherapy helpful for managing phobias. It involves using deep relaxation and guided techniques to explore and change subconscious thoughts and behaviours.

Hypnotherapy isn’t available through the NHS in most areas. If you’re considering this option, it’s important to find a qualified and trustworthy practitioner. Ask your doctor or therapist for advice.

Medication isn’t usually the first treatment for phobias. But it might be offered if your phobia causes severe anxiety, especially while you're on a waiting list for therapy.

The main types of medication that can be used are:

  • Antidepressants – usually SSRIs like sertraline or escitalopram. These can help reduce anxiety.
  • Tranquillisers – usually benzodiazepines like diazepam. These are sometimes prescribed for severe anxiety.
  • Beta blockers – like propranolol. This can help reduce physical symptoms of anxiety like a racing heart or shaking. They don’t treat the phobia itself but may help in situations that trigger it.

If you’re prescribed medication, your doctor should explain exactly what it’s for and any possible side effects.

Find out more about medication

If your phobia is making it hard to speak to your GP

  • If you feel too anxious to book or attend an appointment, here are some things that might help:

    • ask for a phone or online appointment instead of going in person
    • get someone you trust to help book or come along with you
    • write down what you want to say beforehand
A person thinking, sat on the sofa.
My treatment for emetophobia was one of the scariest things I’ve done, but it was all worth it.
Aimee, 16

Supporting someone with a phobia

It can be hard to understand a phobia if you haven’t experienced one yourself, especially if the thing they’re afraid of seems harmless to you. But phobias are real, and the fear someone feels is very intense. Here are some ways you can help:

  • Take it seriously

    Even if their fear seems irrational to you, try not to laugh it off or dismiss it. A phobia can cause severe anxiety and panic, and it might stop someone from doing everyday things. Taking it seriously shows that you care and helps them feel seen and supported.

  • Don’t force them into situations

    Avoiding a phobia completely can make it worse over time, but don’t push them to face it before they’re ready. Forcing them into situations that trigger their fear can be overwhelming and unhelpful. Be patient and let them move at their own pace.

  • Ask what helps

    Everyone’s different, so it’s important to ask them what they find helpful when they’re feeling scared or panicked. They might want you to talk to them calmly, do a breathing exercise together, or help them leave a situation. Just knowing you’re there and that you understand can make a big difference.

  • Support them to get help

    If their phobia is affecting their day-to-day life, you could gently encourage them to speak to a GP or look into self-help strategies. You might offer to help book an appointment, go along with them, or help them find the words for how they’re feeling.

Get help now

  • Triumph Over Phobia (Top UK)

    Runs a network of local self-help groups for anyone aged 16+ who has a phobia, OCD or an anxiety disorder. 

  • No Panic

    Supports people struggling with panic attacks, phobias, obsessive compulsive disorder (OCD) and other anxiety-related issues - and provides support and information for their carers.

    Call 01952 680835 for a recorded breathing exercise to help you through a panic attack (available 24/7).

    Read information about call costs.

    Opening times:
    10am - 10pm, 365 days a year
  • Childline

    If you’re under 19 you can confidentially call, chat online or email about any problem big or small.

    Sign up for a free Childline locker (real name or email address not needed) to use their free 1-2-1 counsellor chat and email support service.

    Can provide a BSL interpreter if you are deaf or hearing-impaired.

    Hosts online message boards where you can share your experiences, have fun and get support from other young people in similar situations.

    Opening times:
    24/7

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