Tormented by Phobias

“Phobias have often been a subject of ridicule. But ‘funny’ is one thing they are not.”—Jerilyn Ross, director of a treatment center for anxiety disorders

THE word “phobia” refers to an intense, unrealistic fear of an object, an event, or a feeling. But a definition alone cannot convey the terror and loneliness that mark this condition. Raeann Dumont, who has treated phobias for more than two decades, notes: “Phobic people may avoid so many situations that they become housebound, or they may live with constant, unrelenting anxiety, or they may relieve their anxiety with alcohol, which may cause additional problems.”

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Treatment Obstacles

In time, the large pharmaceutical companies started to offer AIDS drugs at much lower prices to developing countries in need. It was hoped that in this way many more people would be able to make use of the drugs. However, there are major obstacles to overcome to make such drugs readily available in developing lands. One of these is the cost. Even at drastically reduced prices, the drugs are still far too expensive for the majority of the people who need them.

Another problem is that the drugs are not easy to administer. Many pills must be taken daily, at specified times. If they are not taken correctly or if the medication routine is interrupted, this could lead to the development of drug-resistant strains of HIV. It is difficult to ensure adherence to correct dosages in African conditions, where there may be little food, a low supply of clean drinking water, and few medical facilities.

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