What is Koinoniphobia?

Koinoniphobia is the irrational fear of rooms full of people or of being in crowds. Sufferers feel uncomfortable in situations where they cannot see past people to see their environment. The phobia is considered a specific phobia and is related to Claustrophobia.

The name is derived from the Greek word 'koini' which means 'common' and the word 'phobia' comes from the Greek word ‘phóbos’ meaning 'fear.'. The name was coined in 1891 in the North American Journal of Homeopathy as a "fear when in society or gatherings of people".

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Symptoms of Koinoniphobia

  • Extreme Anxiety, Dread

  • Shortness of Breath
  • Rapid Breathing
  • Heart Palpitations
  • Excessive Sweating
  • Nausea
  • Dry Mouth
  • Confusion / Inability to Articulate Clearly
  • Lack of Focus
  • Irritability
  • Shaking
  • Feelings of Powerlessness
  • Obsession with the Subject of the Phobia
  • Fear or Feelings of Losing Control
  • Avoidance Behavior
  • Headaches

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Causes of Koinoniphobia

Koinoniphobia is a specific (or “isolated”) phobia, centered on non-social key factors. Isolated phobias tend to have some previous trauma (often in childhood and often physically injurious) as a root cause; a fear of bees may stem from an injury in childhood, for instance.

Upbringing can also play a role, such as parental warnings about a direct threat (such as “snakes can bite and kill you”) which is especially notable in cases where a threat is more imminent. (An allergy to bees or peanut butter, for instance, would naturally reinforce a real medical concern.)

It is thought that genetics and hereditary factors may play a role in specific phobias, especially those related to a danger of injury. (A primal “fight or flight” reflex may be more easily triggered in those with a genetic predisposition, for instance.)

By contrast, social phobias (like a fear of body odor or touch) are less well-understood, are driven by social anxiety, and are broadly labeled as “social anxiety disorder”.

In all kinds of phobias, external experiences and / or reports can further reinforce or develop the fear, such as seeing a family member or friend who is affected. In extreme cases, indirect exposures can be as remote as overhearing a reference in conversation, seeing something in the news, on TV, or in the movies.

Koinoniphobia, like most phobias, stems from a subconscious overprotection mechanism, and as with many phobias can also be rooted in an unresolved emotional conflict.

Learn more about the causes of phobias ›

Treatments for Koinoniphobia

  • Cognitive Behavior Therapy (CBT)

  • Habit Strategies To Relax
  • Cognitive Therapy (CT)
  • In Vivo Exposure
  • Response Prevention
  • Hypnotherapy
  • Group Therapy
  • Psychotherapy
  • Energy Psychology
  • Medication
  • Meditation

Learn more about phobia treatments ›

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