Phobias Treatment The Different Treatment Options Available for Phobias By Lisa Fritscher Lisa Fritscher Lisa Fritscher is a freelance writer and editor with a deep interest in phobias and other mental health topics. Learn about our editorial process Updated on June 16, 2020 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Steven Gans, MD Medically reviewed by Steven Gans, MD Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Print Researchers are still unclear on exactly what causes phobias. The latest studies show that there is likely a complex interaction of factors including genetics, brain chemistry, environmental triggers, and learned behavior. Two main approaches to treating phobias are the use of medications and psychotherapy. bymuratdeniz / Getty Images Medication The medical model places emphasis on the genetic and brain chemistry components of phobias. Medications are prescribed to reduce the symptoms associated with phobias. Studies show that in phobias, cognitive behavioral approaches tend to be more effective long-term than medication approaches. Antidepressants There are two classes of antidepressant medications that are sometimes used to treat phobias: selective serotonin reuptake inhibitors (SSRIs) and monoamine oxidase inhibitors (MAOIs). While anti-depressants are most commonly associated with the treatment of mood disorders like depression, they also have anti-anxiety effects that can potentially be helpful in phobias. SSRIs like including Celexa (citalopram), Zoloft (sertraline), Prozac (fluoxetine), and Paxil (paroxetine) are often used for anxiety disorders. Potential side effects include: HeadachesDry mouthDrowsinessSexual dysfunctionDiminished sex driveWeight gain Benzodiazepines Benzodiazepines, including Valium (diazepam), Xanax (alprazolam), Klonopin (clonazepam), and Ativan (lorazepam), are generally used for the short-term acute treatment of anxiety associated with phobias. Common side effects include: DrowsinessCognitive issuesImpaired coordination Beta Blockers Beta blockers, including Tenormin (atenolol) and Inderal LA (propranolol), are sometimes prescribed as a short-term treatment to help control trembling, sweating, and other physical symptoms of phobia-related anxiety. While medication is helpful for some, others find the benefits aren't worth the side effects. If you're experiencing unpleasant side effects of your medication, it's always best to consult your doctor prior to stopping. Those who choose to use medications to treat their phobias must visit a psychiatrist or other doctor for medication management, even if they also see a therapist. In most states, psychologists are not permitted to prescribe medications, although this is slowly changing. However, no mental health practitioner with less than a doctoral degree is permitted to prescribe medication in any state. How Medication Can Help Treat Different Phobias Therapy Many professionals believe that the most important causes of phobias are environmental triggers and learned behaviors. They argue that a phobia is ultimately a learned response to a stimulus. By “unlearning” the response, the phobia can be cured. This model favors psychotherapy as a preferred treatment. Many people who live with phobias are best treated with a combination of medication and psychotherapy. Cognitive Behavorial Therapy Cognitive behavioral therapy (CBT) is often the first-line of treatment for phobia. It can help you overcome the negative automatic thoughts that lead to phobic reactions, teaching you to gradually change the way you think to help you overcome your fear. Exposure Therapy Like the name implies, exposure therapy gradually exposes you to the situations you fear with the goal of desensitizing and reducing anxiety. Exposure therapy is often part of a cognitive behavioral treatment program, but can also be incorporated into your daily life. Before the exposure process begins, people first learn relaxation techniques to use to stay calm when facing their fears, including deep breathing, progressive muscle relaxation, visualization, and guided imagery. The next step is to practice using these relaxation strategies gradually and progressively facing the feared object or situation. For example, if you have a phobia of public speaking, your therapist may help you gradually face difficult public speaking scenarios to overcome your fears perhaps starting with reading a passage aloud to a friend and ending with giving a public presentation. Therapy Options for Phobia Treatment Alternative Treatments Increasingly, mental health professionals and patients are turning to alternative treatments to augment traditional means of treating phobias, but these options are not considered first-line treatments and often come with their own set of side effects. Some alternative therapies include: Hypnotherapy Homeopathy Herbal remedies Although these treatments have not undergone the rigorous, controlled testing necessary for endorsement by the mainstream medical community, many people find symptom relief through alternative channels. Of course, any alternative treatment should only be undertaken with guidance from a mental health professional. How to Face Your Fears A Word From Verywell Getting help for your phobia may feel uncomfortable and anxiety-provoking—but you can take comfort in the fact that you are taking the best first step to alleviate your anxiety, manage your phobia, and start enjoying your life. The Goals of Phobia Treatment By Lisa Fritscher Lisa Fritscher is a freelance writer and editor with a deep interest in phobias and other mental health topics. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist Online Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.