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Related to Phobic disorders: Irrational fear
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The patient's refusal of the investigation can be comprehended as typical avoidance behaviour as a result of his underlying phobic disorder.
In the clinical psychology field, virtual reality is a safe, inexpensive, accepted, and probably soon a widespread tool used in exposure treatments of phobic disorders.
And while TCAs are no longer widely prescribed for depression because SSRIs are so much safer, they are increasingly used in lower doses for chronic pain syndromes, peripheral neuropathy, migraine prophylaxis, panic and phobic disorders, and obsessive-compulsive disorder.