Thalassophobia

Written by

Published Aug 20, 2021

Clinically reviewed by

Reviewed Jan 14, 2022

Overview

  • Thalassophobia is the persistent, intense fear of vast, deep, and often dark bodies of water — specifically the fear of the unknown below the surface. Unlike aquaphobia (fear of any water), it focuses on deep, expansive bodies of water such as the ocean, deep rivers, and large lakes. It is a type of anxiety disorder.
  • An estimated 9.1% of American adults report having a specific phobia in a given year. Symptoms can occur even when just looking at pictures of deep water or imagining being far from land.
  • Causes include genetics, past traumatic experiences around water, brain circuit dysfunction, and upbringing — particularly growing up with an anxious parent who feared water.
  • Thalassophobia is treatable. CBT and exposure therapy are the primary evidence-based approaches. Coping techniques like deep breathing, visualization, and progressive muscle relaxation are also effective.

Symptoms of Thalassophobia

Anxiety symptoms can occur even when just looking at pictures or thinking about deep water.

Physical Symptoms

  • Rapid heart rate
  • Trembling or shaking
  • Sweating or chills/hot flashes
  • Shortness of breath, breathlessness, or rapid breathing
  • Dry mouth
  • Lightheadedness or dizziness
  • Butterflies in the stomach or nausea
  • Headache
  • Anxiety chest pain or tightness in the chest
  • Confusion

Emotional Symptoms

  • Dread and extreme, sudden fear or anxiety
  • Avoiding being around large bodies of water
  • Panic and wanting to escape
  • Feeling overwhelmed or out of control
  • Racing thoughts
  • Feeling detached
  • Inability to sleep

Triggers of Thalassophobia

  • Lakes, swimming pools, or rivers
  • Boats, submarines, or scuba diving
  • Sea creatures — mythical or real
  • Photos, movies, or TV shows depicting deep water or any of the above
  • Thinking about or anticipating having to be around any of the above

Causes of Thalassophobia

Although there isn’t one single cause of thalassophobia, there are several risk factors that can contribute.

  • Genetics: Phobias are a type of anxiety disorder, which is often hereditary. Research has shown phobias can be linked to genetics.
  • Past experiences: A traumatic event involving or around water can result in a lasting fear that develops into a true phobia.
  • Brain circuits: Anxiety disorders have been linked in studies to dysfunction in brain circuits, which can result in specific phobias like thalassophobia.
  • Upbringing: Growing up with anxiety-ridden family dynamics — particularly a parent who feared water — can increase the likelihood of developing thalassophobia.

Treatment of Thalassophobia

The goal of treatment is to understand how the fear developed, identify specific triggers, and learn to manage emotional and physical responses. Being open with your therapist about past traumas and lifestyle is important for finding the origin of the phobia.

“Treatments for thalassophobia can include cognitive behavioral therapy (CBT) and exposure therapy. Each of these can help with decreasing the anxious thoughts and feelings that come up because of the fear.”

— Bisma Anwar, MA, MSc, LMHC, Talkspace therapist
  • CBT: Cognitive behavioral therapy is a form of talk therapy that replaces dysfunctional negative thoughts with healthier ones. Through CBT techniques, you learn to control your thoughts rather than be overwhelmed by them. A therapist may assign exercises such as visiting the ocean while remaining safely onshore.
  • Exposure therapy: Exposure therapy is one of the types of CBT used to treat phobias. It involves gradual, repeated exposure to the feared stimulus in a safe environment to reduce anxiety and redirect avoidant behavior. For thalassophobia, a therapist using exposure therapy for anxiety might start by having you think about being in the ocean, then view images of it, then guide you through an in-person or virtual reality experience.

Coping Techniques for Thalassophobia

The more consistently these techniques are used, the stronger their impact. See: how to overcome a debilitating phobia.

  • Deep breathing: Breathing exercises for anxiety can be done anywhere. Inhale deeply, hold, and release slowly. Repeat until the body relaxes.
  • Visualization: Imagine successfully navigating deep water without panic. Best practiced with a therapist.
  • Progressive muscle relaxation (PMR): Frequently used in CBT for anxiety. Involves increasing then releasing tension in targeted muscle groups to relieve stress. Research supports its effectiveness for panic attacks. Also useful for releasing anger healthily.
  • Self-help exposure: Visualize yourself near a small body of water using relaxation techniques, then gradually imagine larger and larger bodies of water until tolerance builds and fear diminishes.

Sources

  1. The structure of genetic and environmental risk factors for fears and phobias.
    Loken EK, Hettema JM, Aggen SH, Kendler KS. Psychological Medicine. Published 2014.‌
  2. Neurobiology of fear and specific phobias
    Garcia R. Neurobiology of fear and specific phobias. Learning & Memory. Published 2017.‌
  3. A Contemporary View of Applied Relaxation for Generalized Anxiety Disorder
    Cognitive Behaviour Therapy. Published 2013. ‌
  4. Specific Phobia.
    National Institute of Mental Health (NIMH). Published 2017.‌

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Bisma Anwar, MA, MSc, LMHC

Bisma Anwar, MA, MSc, LMHC

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How many people are affected by thalassophobia?

There is no exact record specific to thalassophobia. However, an estimated 9.1% of American adults report having a specific phobia in a given year.

Is it possible to overcome a fear of the ocean?

Yes. Participating in therapy — whether in-person or online — will help you move toward overcoming your phobia. Whatever phobia you’re dealing with — thalassophobia, agoraphobia, arachnophobia, thanatophobia, or claustrophobia — therapy can help. When you lessen the burden of a phobia you’ll spend less time in avoidant fear and gain a newfound perspective on daily life.

What are some effective techniques for coping with thalassophobia?

Relaxation strategies like meditation, visualization, and deep breathing are excellent short-term tools. Longer-term, the following have been found effective:

  • Deep breathing: Breathing exercises can be done anywhere to physically calm the body.
  • Visualization: Imagining successfully navigating deep water without panic, ideally practiced with a therapist.
  • PMR: Increase and release tension in targeted muscle groups to relieve stress and calm the mind. Research supports its effectiveness for panic attacks.
  • Self-help exposure: Gradually imagine increasing exposure to larger bodies of water using relaxation techniques until tolerance builds and fear diminishes.

How do you get diagnosed with thalassophobia?

Start with an online self-test to explore symptom severity, then reach out to a doctor, therapist, or mental healthcare professional for a formal diagnosis. A clinician will discuss your fear, review your history, and rule out underlying medical conditions. There is no lab test — diagnosis is based on clinical evaluation of your symptoms and their impact on daily functioning.

Who can diagnose thalassophobia?

A licensed therapist, psychologist, or psychiatrist can diagnose thalassophobia. A primary care physician can conduct initial assessment and refer to a mental health specialist. Because phobias are a type of anxiety disorder, a clinician with experience in anxiety and phobia treatment is best positioned for accurate diagnosis and treatment planning.

Can an online therapist diagnose thalassophobia?

Yes. Licensed therapists practicing via telehealth can evaluate and diagnose thalassophobia. Online therapy also provides full access to CBT and exposure therapy — the two primary treatments. For many people with phobias, the lower access barrier of online therapy makes it easier to take the first step.

What type of therapy is best for thalassophobia?

CBT and exposure therapy are the two primary evidence-based treatments. CBT replaces dysfunctional thoughts with healthier ones and teaches coping skills. Exposure therapy (https://www.talkspace.com/online-therapy/exposure-therapy/) — a form of CBT — uses gradual, repeated exposure to the feared stimulus to reduce anxiety over time. The two are often used together.

When should you seek professional help for thalassophobia?

Seek help if your fear of deep water is significantly interfering with daily life, work, travel, or relationships — or if you experience intense anxiety symptoms even when just looking at images or thinking about deep water. You don’t need to wait for symptoms to become severe. The sooner you seek help, the more effective treatment tends to be.

Can thalassophobia be treated?

Yes. CBT and exposure therapy are both effective. Coping techniques like deep breathing, visualization, and progressive muscle relaxation also provide meaningful relief. With the right support, it is possible to significantly reduce the impact of thalassophobia and regain the ability to enjoy life more fully.

Therapy may be free for you. Get started >