Extreme fear may manifest as physiological reactions such as palpitations, sweating, and tremors, and in severe cases may develop into panic disorder or specific phobias. Extreme fear itself is not an independent disease, but it may be a symptom of mental and psychological disorders such as anxiety disorder and post-traumatic stress disorder.

1. Physiological Symptoms
When extreme fear occurs, the human body activates the sympathetic nervous system, resulting in reactions such as increased heart rate, rapid breathing, and elevated blood pressure. Some people may experience peripheral vascular constriction such as cold hands and feet, pale complexion, and dilated pupils. The digestive system may experience nausea, diarrhea, or discomfort in the stomach, and muscle tension may cause limb tremors or even stiffness.
2. Cognitive Symptoms [SEP]: In a state of fear, attention may become narrow, focusing only on the source of the threat and ignoring other environmental information. Possible sense of disintegration of reality or personality, resulting in unreal experiences. Short term memory and logical thinking abilities may temporarily decline, and some individuals may develop catastrophic thinking patterns.
III. Behavioral Symptoms
Typical manifestations include avoidance or running behavior, which may be accompanied by emotional outbursts such as screaming and crying. A small number of people may experience stiff reactions or excessive attachment behavior. Long term fear may lead to maladaptive behavior patterns such as avoiding social situations and repeatedly checking safety environments.
4. Emotional Symptoms

In addition to feelings of fear, complex emotions such as anxiety, helplessness, and loss of control are often mixed together. Some people may experience anticipatory anxiety, which refers to the persistent worry of fear recurring. Children may exhibit emotional outbursts such as irritability and crying, while elderly people are more likely to experience anxiety and unease.
V. Related Diseases
Excessive fear lasting for more than 6 months may meet specific diagnostic criteria for phobias. Sudden intense fear accompanied by a sense of impending death may be a panic disorder attack. The fear response that occurs after a traumatic event should consider post-traumatic stress disorder. Generalized anxiety disorder can also present with persistent worry accompanied by physical symptoms.
It is recommended that individuals with persistent fear symptoms maintain a regular daily routine, avoid caffeine and alcohol intake, and alleviate acute symptoms through methods such as abdominal breathing and progressive muscle relaxation. Recording the triggers and patterns of fear attacks can help identify the root cause of the problem. When symptoms seriously affect daily life, it is necessary to seek psychological treatment in a timely manner. Cognitive behavioral therapy and systematic desensitization have good effects on fear related disorders. Moderate aerobic exercise can regulate autonomic nervous system function in daily life, and maintaining social activities can help prevent symptom deterioration.

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