Tomophobia

Tomophobia

Article
Behavioral & Mental Health
Diseases & Conditions
Contributed byKrish Tangella MD, MBAOct 13, 2023

What are the other Names for this Condition? (Also known as/Synonyms)

  • Fear of Medical Procedures
  • Medical Phobia
  • Procedure Anxiety
  • Surgical Phobia

What is Tomophobia? (Definition/Background Information)

  • Tomophobia is an intense and irrational fear of medical procedures, especially surgery. Anyone can develop Tomophobia, but those with a history of anxiety or traumatic medical experiences are more at risk.
  • The exact cause of the condition is unknown, but it may be related to negative past experiences, underlying mental health issues, or cultural beliefs.
  • Common risk factors for Tomophobia include previous traumatic medical experiences, anxiety or panic disorders, PTSD, lack of control, cultural or religious beliefs, sensory sensitivity, and family history of anxiety or phobias.
  • Symptoms of Tomophobia include extreme anxiety, panic attacks, avoidance of medical procedures, and physical symptoms such as increased heart rate or sweating.
  • Diagnosis is typically based on a psychological evaluation and discussion of symptoms with a healthcare professional.
  • Treatment may include therapy, medication, relaxation techniques, exposure therapy, or a combination of these approaches.
  • Prevention strategies include education, exposure therapy, seeking support, relaxation techniques, and seeking positive medical experiences.
  • Untreated Tomophobia can lead to avoidance of necessary medical procedures, which can have negative health consequences. With proper treatment, many individuals with Tomophobia can overcome their fear and manage their symptoms effectively.

Who gets Tomophobia? (Age and Sex Distribution)

Anyone can develop Tomophobia, but it is more common in people who have had traumatic experiences related to surgery or medical procedures, such as a previous surgery with complications or a painful medical procedure.

What are the Risk Factors for Tomophobia? (Predisposing Factors)

The risk factors for Tomophobia include 

  • Previous traumatic experiences with medical procedures 
  • Having anxiety, panic disorders or post-traumatic stress disorder (PTSD)
  • Feeling out of control during medical procedures 
  • Certain cultural or religious beliefs 
  • Family history of anxiety or phobias

It is important to note that having a risk factor does not mean that one will get the condition. A risk factor increases one’s chances of getting a condition compared to an individual without the risk factors. Some risk factors are more important than others.

Also, not having a risk factor does not mean that an individual will not get the condition. It is always important to discuss the effect of risk factors with your healthcare provider. 

What are the Causes of Tomophobia? (Etiology)

  • The exact cause of Tomophobia is unknown, but it is believed to be a combination of genetic, environmental, and psychological factors. 
  • Traumatic experiences related to surgery or medical procedures may also play a role in developing the condition.

What are the Signs and Symptoms of Tomophobia?

The signs and symptoms of Tomophobia can vary from person to person, but they may include:

  • Intense anxiety or panic when near or thinking about surgery or medical procedures
  • Avoidance of activities that involve surgery or medical procedures, such as scheduling necessary surgeries or medical tests
  • Physical symptoms such as sweating, trembling, rapid heartbeat, or shortness of breath
  • Fear of pain, complications, or death during surgery or medical procedures
  • Difficulty functioning in daily life due to the fear.

How is Tomophobia Diagnosed?

Tomophobia can be diagnosed by a mental health professional through a comprehensive evaluation of the person's symptoms, medical history, and personal and family history of mental health disorders.

Many clinical conditions may have similar signs and symptoms. Your healthcare provider may perform additional tests to rule out other clinical conditions to arrive at a definitive diagnosis.

What are the possible Complications of Tomophobia?

The complications of Tomophobia include:

  • Difficulty functioning in daily life, including avoiding necessary medical procedures or surgeries
  • Social isolation and decreased quality of life
  • Delay or avoidance of necessary medical care
  • Development of other mental health disorders, such as depression or anxiety.

How is Tomophobia Treated?

Tomophobia can be treated through a variety of methods, including:

  • Cognitive-behavioral therapy (CBT) - a type of talk therapy that helps a person identify and change negative thought patterns and behaviors related to the fear
  • Exposure therapy - a form of CBT that gradually exposes the person to the feared object or situation in a safe and controlled environment to help them overcome the fear
  • Medications - such as anti-anxiety medications or beta-blockers, which can help reduce the physical symptoms of anxiety.

How can Tomophobia be Prevented?

Prevention of Tomophobia is not always possible, but there are several strategies that may help reduce the risk of developing this fear:

  • Learning about medical procedures and their purpose
  • Gradually exposing oneself to medical procedures 
  • Practicing relaxation techniques such as deep breathing, meditation, or progressive muscle relaxation to help reduce anxiety and stress
  • Joining a support group or seeking therapy 
  • Seeking out positive medical experiences, such as with a trusted healthcare provider
  • Addressing underlying mental health issues

What is the Prognosis of Tomophobia? (Outcomes/Resolutions)

  • With proper treatment, many individuals with Tomophobia can overcome their fear and manage their symptoms effectively. 
  • However, the prognosis may depend on the severity of the fear, any underlying psychological factors, and the individual's willingness to engage in treatment.

Additional and Relevant Useful Information for Tomophobia:

The following link is a useful resource for information on other mental health conditions on DoveMed:

https://www.dovemed.com/healthy-living/emotional-well-being/

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Krish Tangella MD, MBA

Pathology, Medical Editorial Board, DoveMed Team

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