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Một luật sư đầy tham vọng của công ty tư vấn bạn. Ông nói rằng ông đã luôn luôn có một nỗi sợ không gian kín và tránh đi du lịch trong thang máy hoặc thang máy bởi vì họ làm cho anh ta quá lo lắng. | CHAPTER __zz_ 2 Epidemiology of Phobias A Review Gavin Andrews Clinical Research Unit for Anxiety and Depression School of Psychiatry University of New South Wales at St. Vincent s Hospital 299 Forbes St. Darlinghurst NSW 2010 Australia INTRODUCTION An ambitious corporate lawyer consults you. He says that he has always had a fear of confined spaces and avoids travelling in lifts or elevators because they make him too anxious. I know it is silly but I fear that if it stops between floors there will be no air and I will suffocate before I m rescued. His firm has offices on the 12th floor of a high rise building and he uses the stairs. It must be good for my health he says. The firm is relocating to the 37th floor of a new security building in which the stairwell is locked and access to their floor is only by elevator. He asks for help but when he learns that treatment will involve confronting his fears in a planned and graded fashion he never returns. You later learn that he has taken a position in a suburban practice and you wonder how a fear of something not intrinsically dangerous could be so intense that it caused a man to halve his income and give up his ambition. Then you realize that the fear is of suffocating in the lift not of travelling in the lift. A woman is brought by her daughter because she is afraid to leave home on her own. She explains that many years ago she had a number of severe panic attacks during which she thought she would collapse and die. She developed a fear of panic and resolved this fear by staying at home where she could get help and only travelled with a trusted adult who could summon help should a panic occur. It is some years since a severe panic occurred but she is reluctant to test her ability to cope away from help. We explain that she could learn to control her panics and master her fears. She says that she now knows that people do not die from panic attacks and can Phobias. Edited by Mario Maj Hagop
