How to Get Rid of Phobias [This American Life]

Audio source: https://www.thisamericanlife.org/740/there-i-fixed-itTranscriptAs long as he could remember, going back to when he was a child, Sam was scared of spiders. But not scared in the normal way, where lots of us don't feel great when we see a big spider, or a snake, or a big bug, or whatever.SamIt invaded all aspects of my life at all points in the year. I was thinking about spiders all the time. Any room I walked into, I looked in the corners. I looked under the table, crouched down. Every night before I went to bed, I fully unmade my bed.Walking down the street, I wouldn't walk under anything that-- I would try to avoid right angles to the best I could, because that's where a spider is going to make its web.Ira GlassBut you were scared that one would fall on you? Or just because that's where they are?SamWhether or not it would fall on me was really irrelevant. Just seeing a spider, not moving, moving, large, small, it just created a feeling in my body that was just-- I would shake. I would throw up. I would faint. And of course, if you're constantly going through your life looking for spiders, you'll find one.Ira GlassAs a kid, he didn't do sleepovers, didn't do summer camp. Other kids made fun of him. People did not understand. People pitied him.And when he grew up, it did not go away. His fear ruined dates. He once found a spider the size of your thumbnail in his car and sold the car that day.SamI had went to psychiatrists for exposure therapy. I had went to psychiatrists to talk about it. I couldn't watch an image of a spider on a TV screen.Ira GlassLet me ask you, does this name mean anything to you?SamHmm?Ira GlassPeter Parker.SamNo. Oh, oh, Spider Man.Ira GlassYeah, could you watch those films?SamNo, absolutely not. I don't even know if Spider Man has anything to do with spiders, to be honest.Ira GlassAnd then, he was seeing a hypnotherapist, and it was going nowhere, when he read in The New York Times about this new treatment for phobias that can get full results in just one day. And he reached out to the doctor behind it, a psychologist, Dr. Merel Kindt in Amsterdam. And she invited him to be part of a study and get the treatment. He figured he had nothing to lose and flew to The Netherlands. A film crew captured what happened during his treatment for a documentary series called A Cure for Fear.Merel KindtYou're doing fine.SamI'm so nervous.Merel KindtYeah, it's OK.Ira GlassSam and Dr. Kindt stand outside the door of her room. She opens it. He looks in. There's an aquarium with a brown, furry tarantula, maybe 4 or 5 inches in size.Merel KindtYes, there's a spider in the tank. But let's not wait too long. So it would be very good if you can already walk in the room, and then I close the door. Very good, great. We're doing very well.SamI think you can hear that I was breathing hard, and I'm feeling that there is adrenaline. I crouch down, my arms crossed.Ira GlassDr. Kindt then opens the door of the tank.SamOh, whoa, god. No, no, no, you're not going to make me look in there, are you?Merel KindtYes, I'm going to ask you.Sam[HYPERVENTILATING]Merel KindtSo please come with me. So step in here, and then close it. Very good. And then, can you also--SamOh god!Merel KindtVery good, very good. Yeah, come. And--SamNo! Don't make me go in there!Ira GlassThen, to get the spider to move around this tank, she sprays it with water. And every time she plays it with water, the spider waves its legs or moves around a little.SamYeah.Merel KindtOK. How high is your distress right now?SamIt's like 100.Merel KindtOK, but it's very important not to move away.SamOK, I'm not moving away.Merel KindtAll right, spray it a bit so that--Sam(SCREAMING) Oh, god, no! [WAILS]Merel KindtYeah, that's very good. OK.Sam[HYPERVENTILATING] I gotta go!Ira GlassSam, I'm wondering, like when you scream like this, I'm wondering what goes through your head.SamThat I feel like I can feel it on me, that I'm going to be attacked by it. None of this is rational, right?Ira GlassMm-hmm.SamI know it's not--I know that the thing isn't going to jump out of the tank and move like 4 feet in the air and jump on me. I get that. But it doesn't matter, because I feel that the absolute worst things that can happen are going to happen and are, in fact, happening.Ira GlassThe reason Dr. Kent wants him to max out on anxiety like this is that she wants to trigger the memories and feelings of fear of spiders that are stored in his brain. And then, when his brain goes to store this big new terrible experience with the old ones, it has to re-save the old memories. And she gives him a drug, a beta blocker called propranolol, that disrupts that process. And I know this sounds so simple. How can this be real? But by disrupting the way that the brain re-saves those memories, she neutralizes them.The very next day, Sam returns to the same room. He walks right in. His breathing is normal.SamThere's fear in that-- well, I don't know that there's fear. I don't understand my feeling, because I've never been like this before.Nothing physically, internally, was happening that used to happen to.Ira GlassYou didn't feel the fear?SamI didn't feel the fear. And when she said--Ira GlassNo adrenaline?SamNo adrenaline at all. I felt, I guess, excitement that this was new.