Jonathan Leake, Science Editor
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SCIENTISTS are offering hope to millions of people afflicted by chronic phobias after finding that simple nasal sprays may help overcome irrational fears.
The sprays have been shown to ease people’s fear of heights, spiders and even chronic shyness, one of the most crippling phobias.
The discovery could turn out to be a breakthrough in the treatment of chronic fearfulness, which afflicts hundreds of thousands of people in Britain.
Well-known phobias include conditions such as agoraphobia, (fear of open spaces), claustrophobia (fear of enclosed spaces) and fear of flying.
“These conditions can be crippling,” said Dr Adam Guastella, a psychology researcher at the University of New South Wales, Australia, who led the research. “Our research shows that the treatments for phobias can be greatly enhanced using compounds that make the brain more receptive.”
Guastella’s research has focused on two chemicals – oxytocin, a naturally occurring hormone long known to play a role in human emotions, and D-cycloserine (DCS), an antibiotic used against tuberculosis that has been found to have subtle effects on the brain. Both can be delivered by nasal spray.
Exposure therapy, in which phobics are confronted with the things that terrify them, is a standard treatment but its benefits often fall away over time.
In his latest research, Guastella used DCS combined with exposure therapy to treat 23 patients suffering from chronic shyness. He asked the patients to make a speech – normally a terrifying task for people with such a condition. A second group of 23, who were also asked to make speeches, were given a placebo.
Guastella said: “These people were so shy they could not enter a crowded room or speak in public. However, those who received DCS showed a great reduction in fear and also reported lasting improvement in work and social relationships.”
Guastella has also used oxytocin to treat people with social phobias and DCS to treat arachnophobes – people with a fear of spiders.
He is now researching a new use for oxytocin: helping couples to repair relationships that have deteriorated.

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Lexapro did the same for me. I was chronically shy until age 47! Lexapro, though I took it for only a few years, has permanently reduced my shyness by 80-90%, even now after not having taken it for more than a year.
Glad the negative libido effects weren't permanent!
T, Chesterfield, USA / VA
While googling Oxytocin spray I cam across a product called Liquid Trust. It doesnât seem to be taken intranasal like this article talks about but I did a little surfing through the net and found a bunch of positive consumer reviews. Has anyone else had any experience using this product?
Joe, Brooklyn, USA
Is this available, an if so where can it be obtained?
r mort, leeds, englannd
Could do with some of that Nasal Spray let me have some tell me where I can get some of that mirical worker Nasal Spray.
Do have signs of the above effects my self always back off when I'm that close to making my dreams come true.
When I get the calls I've been waiting for towards my ambitions I end up cancelling it often done this since I was a kid. Can hardly blame me got beaten up by family etc - bullies.
It is effecting my future and worried where I'll be within the next 40 years if I don't over come this crisis.
This happens because I get nervous about having to attend meetings if been informed to to do with my ambitions for Screenplays for Films and Scripts for Television.
We're all a nervous at those stages but others actually go if they want to take it further and they attend meetings etc after it for me leaving it off all the time it gets harder if you leave it long.
Please make Nasal Spray available at the Chemist without perscription from the Doctors.
M Clifton, Scarborough, UK
@ Ken, Montclair
That's the point of the placebo control group - to determine if there is a significant effect on those taking DCS. Unfortunately, without seeing the research, no further information can be ascertained.
Seb, Durham, UK
If anything it will work as a placebo .
ken, montclair,
Interesting. I have found that EMDR sessions targeting the first memories of when my phobias started along with exposure therapy seems to have done the trick for me.
Alicia Kohn, New York, NY
Never going to work!!
Mark, Essex, England