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What causes fear of footsteps?

Have you ever heard of a person having a fear of the sound of footsteps? I feel like I must be really strange because I've never heard of anybody else having this problem, but (especially if I'm alone) when I hear footsteps walking in my direction, I feel like I'm in trouble and I panic. I'm male, age 18.
Many fears that initially seem irrational have actually a personal precedent. For example, the fact that you become afraid when you hear footsteps when you are alone would make a lot of sense if you have a personal history of violence, of being abused or assaulted, or something similar. If this is the case, then you may also have other symptoms of something called post traumatic stress disorder (PTSD). This is a very serious problem that can develop after a traumatic event, where the victim has sleep problems, panic and anxiety attacks, flashbacks to the traumatic event, and other problems. PTSD can be treated by a combination of therapy and medications, and if you think this might going on you are encouraged to talk to a psychiatrist as soon as possible. If you do not have a personal history along these lines, then it is possible that your fear of footsteps is just a magnification of what would otherwise be a normal healthy response designed to keep you safe. Many simple phobias begin this way (for example, everyone should have some fear of heights). Desensitization and other modalities suggested by your psychiatrist can help you come to terms with the part of this fear that is blown out of proportion.
This answer is for general informational purposes only and is not a substitute for professional medical advice.
If you think you may have a medical emergency, call your doctor or (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment. Medical professionals who provide responses to health-related questions are intended third party beneficiaries with certain rights under Zocdoc’s Terms of Service.

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