How to Diagnose Acrophobia (Fear of Heights)
Instructions
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1
Asses the severity of the fear. Determine if the person could be struggling with a personal issue that could be manifesting as a fear of heights.
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2
Diagnose the severity of the phobic thoughts on a scale of 1 to 10. Determine the duration or course of the symptoms, by taking an inventory to discover if it has been pervasive for most of the persons life or if it is a relatively new fear; this is often best done by taking a full history of the person's life.
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3
Show pictures of external stimuli (in this case it would be a picture of a skyscraper, an aerial view photograph, or placing a ladder in the room). Objectively rate the person's response and have the person also rate their anxiety level when exposed to the stimuli.
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4
Search for rational explanations for the pervasive fear (in this case falling off of a ladder at a young age, or being dangled off a high building). Phobias must be irrational otherwise it is merely an aversion due to a stressful experience and is thus perfectly normal. Rate the level of disruption in the person's everyday life from 1 to 10, just as you did the severity of the fear in Step 2; this should determine how impaired the person is, which is another diagnostic feature of a phobia.
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5
Asses whether there is co-occurring disorders such as panic disorder (which typically is co-occurring with acrophobia). Note that social anxiety is not necessarily a common co-occurrence with acrophobia but depression and anxiety disorders can be pervasive and troublesome.
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