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The misery of weird phobias

Mindspa Limited • March 1, 2017

Having a fear of buttons may sound hilarious, but in reality it can be debilitating. Patients need to be taken more seriously, by both the media and doctors, say experts

Serena Bergman in The Guardian, 5 December 2016

Andy, a 32-year-old IT consultant, is used to people laughing at him when he tries to explain his crippling fear of buttons, specifically those on shirts and jackets.

“I’ve worked in corporate environments, full of people in suits, and there are buttons everywhere you look. This situation is to me what other people may feel being locked in a burning building, or drowning and not be able to swim to the surface,” he says, his voice audibly shaking at the mere thought of rooms full of shirt buttons.

Andy’s condition is called koumpounophobia. It is not as common as some phobias – but still affects around one in every 75,000 people. Sufferers report losing contact with family and friends because they are unable to attend weddings and funerals, or abandoning their careers and doing jobs that allow for remote working or casual clothing.

Phobias are irrational fears which are classified as either simple – of a particular object, such as in Andy’s case – or complex, when they pertain to a circumstance or situation. Because of the ridicule sufferers are often met with, people tend to suffer in silence and phobias go untreated. “I thought I’d be laughed out of a GP’s office,” says Andy. “I knew this was a real thing, but didn’t know how to explain it without feeling like an idiot.”

Another reason many people don’t seek help is because of what the treatment entails. The NHS offers cognitive behavioural therapy (CBT) to people with phobias, which includes “exposure” to the object of the fear. A person develops a phobia when their brain has learned to respond to certain non-dangerous situations (such as seeing a small spider) with a “fight-or-flight” response, which causes symptoms that include panic attacks, palpitations, hysterical crying, and the urge to run. Exposure can work because if patients slowly learn to respond to seeing, say, a spider in a calm way – eventually even holding one in their hands – they can essentially “rewire” their brains. But the thought of facing a phobia in such a way can, understandably, be terrifying.

Around 10 million people in the UK suffer from phobias, yet research into causes and treatments is incredibly limited compared with other mental health conditions. Nicky Lidbetter, chief executive of Anxiety UK, has herself suffered from phobias and is a keen supporter of CBT treatment, but argues it needs to be improved and that further research is crucial.

“I remember when anxiety used to be bundled in with depression, despite being a very different condition. We worked hard to raise the profile of anxiety as a separate disorder that could be just as crippling. This is what we need to do with phobias,” she says. “Because they often seem comical and irrational, the media doesn’t take them seriously and I think this mentality has seeped into the medical world, which is why there’s so little funding and research.”

Amy is a 25-year-old marketing manager based in Leeds. She says: “I knew that if I told a doctor I was scared of heights they’d make me go on a rollercoaster or something. Just seeing a long flight of stairs was making my heart race. I’d start to shake, and couldn’t stop myself from running away.” Amy eventually sought help when she and her boyfriend were looking to move in together and it became too limiting to find a ground-floor or basement flat.

Her treatment involved various exercises, such going up in a lift every day and getting off one floor higher each week. She is now able to manage her phobia, although it hasn’t disappeared.

CBT and exposure therapy has been proven effective in a lot of cases, but some experts disagree with the way it is applied across-the-board to all patients. Guy Baglow is the director of Mindspa Phobia Clinic in Harley Street, London . “CBT is about correcting thinking patterns, and it works really well for a lot of conditions, but I don’t think it’s effective in treating phobias,” he says. “We deal with a lot of clients who have had exposure therapy, and it has actually reinforced the patterns we want to break. CBT tackles the conscious mind, trying to teach us to reason against our phobias, but most people know their phobias are irrational to begin with, so this doesn’t feel helpful.”

Despite being overwhelmed at the prospect of exposure, Andy did eventually see his GP, who referred him to a counsellor. “She was really friendly but I had to wait a month for a half-hour phone consultation, and then all I was going to have was one 45-minute session every two weeks. By this point I was too terrified to leave the house.”

Even at home, Andy was in a constant state of alert. TV and movies were impossible, in case a close-up of a button appeared onscreen. He needed urgent help. “I moved back in with my parents and spent hundreds of pounds on intensive private therapy, but after a couple of sessions they tried to make me look at some pictures of shirts, and I started panicking. I couldn’t get the image out of my head for weeks and it made me constantly terrified. I couldn’t go back.”

More recently, though, life has become a little easier, and he recently bought his first ever pair of button-fly jeans. “I’m so lucky to have had the support system I do, because without my family I really think I might have considered taking my own life,” he says. “Looking back, it’s so tragic to realise that while my friends were joking about my weird little quirk and playing pranks on me, on the inside I was battling my own brain every minute of every day. It was so exhausting and stressful, I can’t imagine anyone would find it funny if they knew what it was really like.”

Names have been changed.

By Mindspa Phobia Clinic January 19, 2025
Guy Baglow, clinical lead at the Mindspa Phobia Clinic, was interviewed in an article about the treatment of unusual phobias.
A glossary of terms related to Glossophobia and therapy to overcome it
By Mindspa Phobia Clinic January 18, 2025
Understand glossophobia (public speaking fear) and treatments to overcome it with this useful glossary, including CBT, stage fright and exposure therapy.
A microphone on an empty stage waiting for the speaker
By Guy Baglow at the Mindspa Phobia Clinic January 12, 2025
Avoidance by people with glossophobia reinforces fear. Avoiding public speaking may give temporary relief but limits career growth and strengthens anxiety.
By Guy Baglow at the Mindspa Phobia Clinic April 12, 2024
Glossophobia is a specific fear of public speaking, but is it a form or social anxiety or should it be treated as a distinct issue?
By Mindspa Limited January 1, 2019
Lucy shares how the "Fast Phobia Cure” helped her conquer her glossophobia and overcome her fear of public speaking at the Mindspa Phobia Clinic.
By support November 2, 2017
Chris Evans, The Guardian, 12 June 2017
By support November 2, 2017
The Fast Phobia Cure (also known as the Rewind Technique or, in Neuro Linguistic Programming (NLP), as “The Visual-Kinaesthetic Dissociation Technique”) is an advanced tool to decondition phobias and trauma (such as PTSD). Its efficacy has been assessed in many academic papers such as the work by Gray & Liotta. It’s safe, gentle and without the drugs, scare tactics, psychological archaeology and exposure used by the older and less effective phobia treatments. The Fast Phobia Cure* is now widely accepted as the most reliable and effective treatment for all kinds of phobias, even long-standing and severe ones. It’s probably the single most reliable and effective tool in psychotherapy today and is being used more and more as a front-line treatment for Post-Traumatic Stress Disorder including trauma caused by accidents, assaults, war and witnessing critical incidents. If you have ever seen someone being almost instantly released from their phobia on TV and thought “Wow, how did they do that?” you can bet the therapist used The Fast Phobia Cure. So how does it work? A phobia is driven by a pattern-matching process whereby the unconscious mind creates “fear templates” around “dangerous” things or situations to try and keep you safe from the imagined threat in future. It then broadly matches these patterns to more and more situations as a phobia develops. What Fast Phobia Cure does, in a very creative way, is interfere with those patterns – it subtly changes the templates by changing the way we experience the memories – so when the unconscious mind tries to match the patterns, they don’t match anymore and the anxiety is no longer triggered. The templates (memories) will still be there, they will just feel different. The emotional tag will be gone. The phobia just won’t work anymore. This can all be done very quickly because the brain learns very fast. It learned to be phobic very fast. Teaching it how not to be phobic can be, and is necessarily, equally fast. It does not take long-term treatment. The mind can then start to generalise outwards, but this time in a very positive way, as it begins to associate more and more situations with feelings of calm and control. One of the great things about The Fast Phobia Cure is that it is non-intrusive: the therapist doesn’t need to know the precise details of the traumatic memories or phobic encounters because the sufferer brings their content (their experiences) to the process. The methodology of the Fast Phobia Cure was first developed by Richard Bandler, one of the founders of Neuro Linguistic Programming (NLP) – the new science of excellence and personal change. It is so effective at detraumatising memories that it is being used more and more as a front-line treatment for Post-Traumatic Stress Disorder including trauma caused by accidents, assaults, war and witnessing critical incidents.
By Mindspa Limited October 27, 2017
Phobias are not the same as normal fear responses. It is normal, for example, to experience some fear when on a precipice or in the presence of a snake. But not to be terrified at the thought of a high place or snake. It is the overwhelming terror that distinguishes a phobia. If you have a phobia you will be able to induce some of the common fear responses – shortness of breath, sweating, dizziness, nausea, increased heart-rate, flushing, shaking – just by thinking about the trigger. You are likely to have only one phobia. You may have other fears, but probably only one phobia. People generally seem to have the capacity for one proper phobia.
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Our clients bring with them some very interesting examples of phobias. These phobias fall into two types: Specific or Simple phobias These are phobias linked to a specific object or situation. Examples are spiders, snakes, bees, worms, frogs, birds, dogs, cats, hedgehogs, goldfish, sharks, vomiting, driving , flying clowns, balloons, thunder, needles, blood, dentists, beards, buttons, velvet, feathers, lifts and marbles. Specific phobias can also be generalised – for example to all slimy green reptiles rather than just frogs. This seems to happen when the original traumatic event can’t be recalled. Non-specific phobias These phobias produce a more general anxiety or terror linked to social or performance situations and are often accompanied by panic attacks. Agoraphobia (open spaces), claustrophobia (confined spaces) and social phobia (public speaking, being the centre of attention) are non-specific phobias.
By Mindspa Limited October 19, 2017
Most people know the technical, scientific name for their phobia. This may give them some comfort: it has a name so they know they are not the first person in the world to have the phobia. But whatever the phobia, someone else has it whether or not it has been given a Greek/Latin name. And knowing its name probably hasn’t helped them deal with it. In fact, just the opposite: we know that some phobics experience anxiety at the mention of the scientific name. A person with a phobia of long words won’t be helped by knowing they have hippopotomonstrosesquippedaliophobia. So we rarely use these names in our clinics and we haven’t listed them here.
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