Coping With Coulrophobia Symptoms

What Is Coulrophobia?

Coulrophobia is a fear of clowns. It is a specific phobia that involves a fear of a specific situation or object. It is important to note that, while many people experience discomfort with clowns, those feelings don't necessarily represent a true phobia.

Clowns date back to the jester or fool of ancient times. As time passed, the jester morphed into the trickster, a more sinister figure with less than honorable intentions.

By the 1980s, clown phobia reached a peak. Rumors of ritual abuse of children were rampant, and clowns played heavy roles in many of these stories. Spontaneous reports of clown harassment began pouring in from children nationwide. Even urban legends began to focus on killer clowns who wait for unsuspecting babysitters.

Symptoms

People who experience coulrophobia experience extreme fear and discomfort in response to clowns. This response may occur during encounters with clowns in real life, but it can also involve a response to seeing clowns depicted on film or in print. Symptoms may include, but are not limited to:

• Anxiety
• Crying
• Difficulty breathing
• Dry mouth
• Feelings of impending doom
• Nausea
• Panic
• Rapid heartbeat
• Shaking
• Sweating
• Trembling

In more severe instances, people may experience panic attacks in response to seeing a clown. Panic attacks are marked by a sudden sense of fear and dread accompanied by other symptoms such as chest pain, chills, derealization, fear of dying, dizziness, and numbness.

Diagnosis

Coulrophobia is not recognized as a distinct condition in the "Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition" (DSM-5). Instead, people may be diagnosed with a specific phobia if their symptoms meet certain diagnostic criteria. These criteria include:

• Excessive and unreasonable fear in response to the fear object
• An immediate anxiety response out of proportion to the actual danger
• Extreme distress or avoidance of the source of the fear
• Life-limiting effects on areas of a person's life including daily living, school, work, and relationships

Causes

Why might people dislike or fear clowns? Like many types of specific phobias, multiple factors can play a role:

• Family history: Some research has found having a close relative with a phobia or other type of anxiety disorder can make people more susceptible to developing a phobia. This suggests phobias may have a genetic component, or could be influenced by family members modeling fearful behavior in response to clowns.
• Negative experiences: Negative personal experiences with clowns at a young age can contribute to the development of this phobia.
• Media depictions of clowns: Another theory is that mass media has created a hype surrounding evil clowns such that even children who are not personally exposed to clowns are trained to dislike or fear them. One study found portrayals of frightening clown characters played a role in increased fear and phobia of clowns.

Impact

Coulrophobia can potentially interfere with your ability to function normally. The condition may cause you to avoid specific situations or settings so you won't encounter your source of fear.

Fear of clowns can be a problem in the case of medical clowning. Medical clowning is when clowns are used to bring humor and laughter to hospital patients. It is often done in pediatric settings to relieve children's anxiety. One study in the U.S. found a 1.2% prevalence of fear of clowns in pediatric patients, over 85% of which were girls. They felt fear even thinking about a visit from a clown.

One survey, conducted at British hospitals by the University of Sheffield and published in 2008, found all 250 children aged four to 16 who were polled expressed a fear or dislike of clowns. Researchers also found that four out of 14 pediatricians and pediatric residents polled considered themselves afraid of clowns. However, some studies have found hospital clowns to have a positive impact.

Coping Skills

Finding ways to cope with feelings of fear and anxiety about clowns can be helpful. Some coping strategies you may find useful include:

Relaxation techniques: Several useful relaxation strategies can help you calm your body's response to fear. Deep breathing is one technique that may be particularly useful for calming anxiety.

Mindfulness: This technique involves focusing your mind on the present moment rather than fears about the past or future. With practice, it can allow you to center yourself in the moment and feel more in tune with your body's reactions.

Journaling: Expressive writing may be a useful strategy when you are dealing with feelings of anxiety. Consider spending a few moments each day focusing on a positive thought or writing down things you are grateful for.

Treatment

Some people have trouble coping with phobias on their own. Fortunately, mental health professionals can treat clown phobia, as any other phobia, even without knowing the precise reasoning behind the phobia for its development. Like other phobias, coulrophobia will often be treated with psychotherapy. In some cases, medications may be prescribed to help manage symptoms associated with the condition.

Psychotherapy

A type of psychotherapy known as exposure therapy is typically the preferred treatment for phobias. This approach involves gradually exposing someone to the source of their fear while they are in a safe environment. Patients are often taught to practice relaxation techniques during the exposure to help them eventually feel less fearful. 

Cognitive-behavioral therapy (CBT) is another psychotherapy approach that can be helpful for phobias. CBT focuses on helping people identify and change the negative thoughts contributing to their feelings of fear.

Medications

Antidepressants and anti-anxiety medications may also be prescribed to help people cope with symptoms they experience with the phobia. Such medications might also be used to treat co-occurring conditions.

Summary

Fear of clowns is not uncommon. In one 2016 survey, 7.8% of adult respondents stated they were afraid of clowns.

While many people report feeling a dislike or sense of unease around clowns, this does not mean that they have coulrophobia. If your symptoms are causing significant distress and interfering with aspects of your daily life, it could be a sign you do have a phobia and you should talk to your doctor.

Treatments for specific phobias such as coulrophobia are quite effective. The sooner you seek help the sooner you can begin finding relief from your feelings of fear and anxiety.