Psychiatry Quiz #15: Phobias

1. A 28-year-old woman presents to her primary care physician with a 6-month history of intense fear of being in places or situations from which escape might be difficult or embarrassing, or where help might not be available in the event of having a panic attack. She avoids crowded places, public transportation, and has started to work from home to avoid these situations. Her condition is causing significant distress and impairment in her social and occupational functioning. Which of the following is the most likely diagnosis? 

Question 1 of 5

2. A 34-year-old man is brought to the clinic by his wife, who reports that her husband has been increasingly reluctant to leave their house over the past year for fear of having a panic attack in public. He expresses a fear of being in open spaces, standing in line, or being in a crowd. Despite his wife's reassurance, he persists in avoiding these situations. Which of the following therapies is considered first-line treatment for this condition? 

Question 2 of 5

3. A 24-year-old woman presents to the emergency department with acute onset of palpitations, sweating, and a feeling of impending doom while trying to board a subway train. She has a history of avoiding subways, buses, and crowded places due to a fear of being trapped and unable to escape. Which of the following is the most likely diagnosis? 

Question 3 of 5

4. A 22-year-old college student presents to the campus health center reporting significant anxiety about speaking in front of his class. He states that he experiences intense fear of being embarrassed or judged negatively by others, leading him to avoid presentations or speaking assignments. This fear is specific to public speaking and does not extend to other social situations. Which of the following is the most likely diagnosis? 

Question 4 of 5

5. A 30-year-old woman reports to her therapist that she has been experiencing significant fear of flying. She describes her fear as irrational and recognizes that flying is safe, but the thought of being on an airplane triggers severe anxiety and panic-like symptoms. She has avoided flying for the past 5 years, which has limited her ability to travel for work and personal reasons. What is the most appropriate initial therapeutic approach for this patient? 

Question 5 of 5


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