Places & Situations · 26 entries

Situational Phobias

Enclosed spaces, crowds, bridges, lifts, tunnels and flight. What is feared here is the setting and the difficulty of leaving it, which is why the same person can be untroubled by height on a mountain and unable to cross a footbridge. The situational type is one of the five DSM-5-TR sorts specific phobia into, and it is the type where avoidance is easiest to arrange and most expensive to keep.

Claustrophobia is the entry that makes the group legible. Rachman and Taylor established in 1993 that the beliefs behind it are two, fear of suffocation and fear of restriction, which explains why a large crowded lift can trigger it and a small empty cupboard sometimes cannot. It also carries the firmest prevalence figure in this catalogue, 3.3 per cent diagnosed, from a named 2008 study rather than a circulating range. Agoraphobia sits here too, separated from panic disorder in DSM-5 and given criteria of its own, which was the largest single reclassification in the manual's recent history.

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All 26 situational phobias

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Common questions

Questions about situational phobias

What is the most common situational phobia?

Claustrophobia, and it is the one with the firmest number attached: 3.3 per cent receive a diagnosis, from Depla, ten Have, van Balkom and de Graaf in 2008. Fear of flying is the more visible one, because avoiding it is easy to arrange and costs a great deal to keep arranging.

Is agoraphobia a fear of open spaces?

No, and the word misleads because it comes from agora, the marketplace. Westphal coined it in 1871, and what the situations share is that leaving them would be difficult or embarrassing rather than that they are open. DSM-5 separated agoraphobia from panic disorder and gave it criteria of its own.

Why can somebody fear a bridge but not a mountain?

Because the fear attaches to the setting rather than to the height. Gephyrophobia is a fear of the crossing, which is a place a person is committed to until they reach the other side, and that commitment is the same property claustrophobia turns on. A mountainside offers a way back at every step.

What counts as a situational phobia?

The built or human setting: lifts, tunnels, bridges, aircraft, enclosed rooms, crowds. If the fear is of other people's judgement rather than of the place, it is a social fear and files there instead, and if the feared thing is a natural element rather than a built one, it files with nature.