Causes of issues

Issues sometimes have originating causes.

For example, a girl aged 3 is violently sick and the parents of the girl are worried about the mess as well as the welfare of their daughter and certain expressions on the parents faces coupled with the lack of understanding of what's going on by the little girl can cause a huge amount of anxiety in a 3 year old. This girl may then grow up with emetophobia, a fear of vomit, because anxiety is associated with it in a similar way to how deja vu feels.

The originating cause was the anxiety of being sick aged 3, but more often than not it is a combination of events that allows it to take hold.

Age 3 may have been where it started but what has maintained the issue is the continuation of the certain belief that they will have that phobic reaction. This belief could have been reinforced every week of her life until she comes for therapy aged 43 having not been able to be sick for 40 years.