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Dr. Grey AI

Condition

Claustrophobia

Claustrophobia is an anxiety disorder in which the brain's fear circuits react strongly to enclosed spaces, driven by an overactive stress response and altered neurotransmitter signaling. Among supplements, yohimbine has been looked at most, and small trials found phobia symptoms improved when it was added to exposure-based therapy. The evidence is limited, though: only two small studies with 24 participants contributed, and one tested fear of flying rather than enclosed spaces.

Sources: PMID 19223151; PMID 22116378

Supplements studied
1
Graded outcomes
1
Trials
1
People studied
24

Evidence by supplement

  • Strong
  • Moderate
  • Limited
  • Very limited

1 supplement

Yohimbine: outcomes studied for Claustrophobia
GradeOutcomeEffectSizeStudiesPeopleStudies list
Phobia Symptoms

Small Improvement

Improves (the measure goes down)Small effect2 studies24 people

Key findings

  • Phobia SymptomsYohimbineImproves (the measure goes down)

The Claustrophobia protocol

1 primary supplement · 2 supporting supplements

See the full protocol

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Studies cited

11 studies from PubMed

  1. Melatonin responses to clonidine and yohimbine challengesJ Psychiatry Neurosci · PMID 7647083
  2. Psychological and neuroendocrine responses to social stress and to the administration of the alpha-2-receptor antagonist, yohimbine, in highly trained endurance athletes in comparison to untrained healthy controlsPharmacopsychiatry · PMID 21710402
  3. Effects of yohimbine on cerebral blood flow, symptoms, and physiological functions in humansPsychosom Med · PMID 10949101
  4. Yohimbine treatment of organic erectile dysfunction in a dose-escalation trialInt J Impot Res · PMID 11896474
  5. Yohimbine for erectile dysfunction: a systematic review and meta-analysis of randomized clinical trialsJ Urol · PMID 9649257
  6. Yohimbine: the effects on body composition and exercise performance in soccer playersRes Sports Med · PMID 17214405
  7. Facilitation of fear extinction in phobic participants with a novel cognitive enhancer: a randomized placebo controlled trial of yohimbine augmentationJ Anxiety Disord · PMID 19223151
  8. Pharmacologically induced alcohol craving in treatment seeking alcoholics correlates with alcoholism severity, but is insensitive to acamprosateNeuropsychopharmacology · PMID 21289601
  9. Effect of anti-obesity drugs promoting energy expenditure, yohimbine and ephedrine, on gastric emptying in obese patientsAliment Pharmacol Ther · PMID 1777550
  10. Comparative efficacy of yohimbine against pyridostigmine for the treatment of orthostatic hypotension in autonomic failureHypertension · PMID 20837887
  11. Does yohimbine hydrochloride facilitate fear extinction in virtual reality treatment of fear of flying? A randomized placebo-controlled trialPsychother Psychosom · PMID 22116378