| Heliophobia | |
|---|---|
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| Sunlight can be a trigger for some suffering from Heliophobia | |
| Specialty | Psychiatry |
Heliophobia is the fear of the Sun, sunlight, or any bright light. It is a type of specific phobia.
| Heliophobia | |
|---|---|
| | |
| Sunlight can be a trigger for some suffering from Heliophobia | |
| Specialty | Psychiatry |
Heliophobia is the fear of the Sun, sunlight, or any bright light. It is a type of specific phobia.
The symptoms of heliophobia depends on the person. Mild sufferers may feel uncomfortable, shaky, nauseated, or numb. Severe sufferers may feel anxious or suffer panic attacks. Other symptoms include heightened senses, lack of focus, feeling trapped, irregular heartbeat, air hunger, rapid breathing, parched mouth, sweating, muscle cramps, and physical discomfort that is not actually caused by bodily injury, but is a physical manifestation of the panic and fear that the heliophobic person experiences when exposed to light. This physical pain may be expressed, for example, as a phantom sensation of their skin burning under direct sunlight, even when it is visually apparent that their skin is not actually burning any more than healthy skin would as a result of sun exposure, but nonetheless still feels like real pain for the sufferer. [1] However, other differential diagnoses like the rare genetic defect erythropoietic protoporphyria characterized by a severe burning sensation of all exposed skin areas without leading to immediate visible signs have to be excluded.
Phobias are classified as a type of anxiety disorder. There is often no discernible cause of phobia onset, though Rachman describes three possibilities: classical conditioning, vicarious acquisition and informational/instructional acquisition. [2] Occasionally they are triggered by harmful events surrounding the phobic object or situation - in this case, for example, severe sunburn, chronic light-triggered migraines, or trauma accompanied by bright sunlight.
According to the DSM-5, heliophobia would be listed under the category of "specific phobia". [3] The Pacific Health Center suggested that people have been staying away from the sunlight because of growing fear of skin cancer or blindness. This is not technically heliophobia, but simply an unfounded illogical solution. It includes an intense fear of being harmfully affected by exposure to the sun or to bright lights, can also cause heliophobia. Forms of heliophobia based on such fears can cause the sufferer to eventually develop fear of being in public or fear of people in general by association, as a crippling fear of bright light can significantly limit the places a heliophobe can comfortably visit, as well as prevent that person from going outside during the daytime, when most other people are active.
Other medical conditions such as keratoconus (an eye disorder that results in extreme optic sensitivity to sunlight and bright lights), migraine which can be triggered by bright light, and porphyria cutanea tarda, which causes the skin to be overly sensitive to sunlight to the point of causing blisters, can result in heliophobia if the sufferer begins to associate pain and discomfort with bright lights.
Sufferers may cover themselves with long, protective clothing or carry a sun parasol when going outdoors during the daytime, or simply never go outdoors at all when the sun is out, depending on the severity of the fear. [1] Since sufferers stay indoors more than non-sufferers, it will make them more prone to becoming vitamin D deficient, as well as depression caused by a combination of vitamin D deficiency, isolation and feelings of alienation from other people, and a continuously dark environment. However, a vitamin deficiency can be helped by taking vitamin D supplements or by consuming vitamin D fortified foods. [4]
Heliophobia can be treated using talk therapy, exposure therapy, self-help techniques, support groups, cognitive-behavioral therapy, and relaxation techniques. For people who are severely heliophobic, anti-anxiety meditation is a recommended mode of treatment. [1]
Specific phobia is an anxiety disorder, characterized by an extreme, unreasonable, and irrational fear associated with a specific object, situation, or concept which poses little or no actual danger. Specific phobia can lead to avoidance of the object or situation, persistence of the fear, and significant distress or problems functioning associated with the fear. A phobia can be the fear of anything.
Porphyria is a group of disorders in which substances called porphyrins build up in the body, adversely affecting the skin or nervous system. The types that affect the nervous system are also known as acute porphyria, as symptoms are rapid in onset and short in duration. Symptoms of an attack include abdominal pain, chest pain, vomiting, confusion, constipation, fever, high blood pressure, and high heart rate. The attacks usually last for days to weeks. Complications may include paralysis, low blood sodium levels, and seizures. Attacks may be triggered by alcohol, smoking, hormonal changes, fasting, stress, or certain medications. If the skin is affected, blisters or itching may occur with sunlight exposure.
Claustrophobia is a fear of confined spaces. It is triggered by many situations or stimuli, including elevators, especially when crowded to capacity, windowless rooms, and hotel rooms with closed doors and sealed windows. Even bedrooms with a lock on the outside, small cars, and tight-necked clothing can induce a response in those with claustrophobia. It is typically classified as an anxiety disorder, which often results in panic attacks. The onset of claustrophobia has been attributed to many factors, including a reduction in the size of the amygdala, classical conditioning, or a genetic predisposition to fear small spaces.
Erythropoietic protoporphyria is a form of porphyria, which varies in severity and can be very painful. It arises from a deficiency in the enzyme ferrochelatase, leading to abnormally high levels of protoporphyrin in the red blood cells (erythrocytes), plasma, skin, and liver. The severity varies significantly from individual to individual.
Photophobia is a medical symptom of abnormal intolerance to visual perception of light. As a medical symptom, photophobia is not a morbid fear or phobia, but an experience of discomfort or pain to the eyes due to light exposure or by presence of actual physical sensitivity of the eyes, though the term is sometimes additionally applied to abnormal or irrational fear of light, such as heliophobia. The term photophobia comes from the Greek φῶς (phōs), meaning "light", and φόβος (phóbos), meaning "fear".
Gunther disease is a congenital form of erythropoietic porphyria. The word porphyria originated from the Greek word porphura. Porphura actually means "purple pigment", which, in suggestion, the color that the body fluid changes when a person has Gunther's disease. It is a rare, autosomal recessive metabolic disorder affecting heme, caused by deficiency of the enzyme uroporphyrinogen cosynthetase. It is extremely rare, with a prevalence estimated at 1 in 1,000,000 or less. There have been times that prior to birth of a fetus, Gunther's disease has been shown to lead to anemia. In milder cases patients have not presented any symptoms until they have reached adulthood. In Gunther's disease, porphyrins are accumulated in the teeth and bones and an increased amount are seen in the plasma, bone marrow, feces, red blood cells, and urine.
Light sensitivity or photosensitivity refers to a notable or increased reactivity to light. Apart from vision, human beings have many physiological and psychological responses to light. In rare individuals an atypical response may result in serious discomfort, disease, or injury. Some drugs have a photosensitizing effect. Properties of natural or artificial light that may abnormally affect people include:
Fear of needles, known in medical literature as needle phobia, is the extreme fear of medical procedures involving injections or hypodermic needles. This can lead to avoidance of medical care and vaccine hesitancy.
Polymorphous light eruption (PLE) presents with itchy red small bumps on sun-exposed skin, particularly face, neck, forearms and legs. It generally appears 30 minutes to a few hours after sun exposure and may last between one and 14 days. The bumps may become small blisters or plaques and may appear bloody,often healing with minimal scarring.
Cynophobia is the fear of dogs and canines in general. Cynophobia is classified as a specific phobia, under the subtype "animal phobias". According to Timothy O. Rentz of the Laboratory for the Study of Anxiety Disorders at the University of Texas, animal phobias are among the most common of the specific phobias and 36% of patients who seek treatment report being afraid of dogs or afraid of cats. Although ophidiophobia or arachnophobia are more common animal phobias, cynophobia is especially debilitating because of the high prevalence of dogs and the general ignorance of dog owners to the phobia. The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) reports that only 12% to 30% of those with a specific phobia will seek treatment.
Blood phobia is an extreme irrational fear of blood, a type of specific phobia. Severe cases of this fear can cause physical reactions that are uncommon in most other fears, specifically vasovagal syncope (fainting). Similar reactions can also occur with trypanophobia and traumatophobia. For this reason, these phobias are categorized as blood-injection-injury phobia by the DSM-IV. Some early texts refer to this category as "blood-injury-illness phobia."
Afamelanotide, sold under the brand name Scenesse, is a medication used to prevent phototoxicity and to reduce pain from light exposure for people with erythropoietic protoporphyria. It is a melanocortin 1 receptor (MC1-R) agonist and a synthetic peptide and analogue of α-melanocyte stimulating hormone. It is administered as subcutaneous implant.
Blood-injection-injury (BII) type phobia is a type of specific phobia characterized by the display of excessive, irrational fear in response to the sight of blood, injury, or injection, or in anticipation of an injection, injury, or exposure to blood. Blood-like stimuli may also cause a reaction. This is a common phobia with an estimated 3-4% prevalence in the general population, though it has been found to occur more often in younger and less educated groups. Prevalence of fear of needles which does not meet the BII phobia criteria is higher. A proper name for BII has yet to be created.
Pseudoporphyria is a bullous photosensitivity that clinically and histologically mimics porphyria cutanea tarda. The difference is that no abnormalities in urine or serum porphyrin is noted on laboratories. Pseudoporphyria has been reported in patients with chronic kidney failure treated with hemodialysis and in those with excessive exposure to ultraviolet A (UV-A) by tanning beds.
Sunburn is a form of radiation burn that affects living tissue, such as skin, that results from an overexposure to ultraviolet (UV) radiation, usually from the Sun. Common symptoms in humans and other animals include red or reddish skin that is hot to the touch or painful, general fatigue, and mild dizziness. Other symptoms include blistering, peeling skin, swelling, itching, and nausea. Excessive UV radiation is the leading cause of (primarily) non-malignant skin tumors, which in extreme cases can be life-threatening. Sunburn is an inflammatory response in the tissue triggered by direct DNA damage by UV radiation. When the cells' DNA is overly damaged by UV radiation, type I cell-death is triggered and the tissue is replaced.
Trypophobia is an aversion to the sight of repetitive patterns or clusters of small holes or bumps. It is not officially recognized as a mental disorder, but may be diagnosed as a specific phobia if excessive fear and distress occur. Most affected people experience mainly disgust when they see trypophobic imagery. A minority of people experience the same level of fear and disgust, and a few express only disgust or fear.
Lilapsophobia is an abnormal fear of tornadoes or hurricanes. Lilapsophobia is considered the more severe type of astraphobia, which is a fear of thunder and lightning.
Heliophobia refers to light sensitivity:
Mageirocophobia is the fear of cooking. It is spectral and can take on several forms, although it is not considered severe enough for treatment unless a person is severely afraid or impacted. Most frequently, it is a common social anxiety disorder caused by negative reactions to common culinary mishaps, post-traumatic stress episodes from cooking or the fear of others' cooking for the phobic person that either prevents them from eating, eating only pre-prepared foods and snacks, or causes them to eat food from eateries that can result in unhealthy diets associated with hypertension, obesity, and diabetes.
Submechanophobia is a fear of submerged human-made objects, either partially or entirely underwater. These objects could be shipwrecks, statues, sea mines, animatronics as seen in theme parks, or old buildings, but also more mundane items such as buoys, chains, and miscellaneous debris.
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