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Most people are afraid of something, but fear of stairs can seem debilitating. You might be uneasy about falling down them or the upward sloping of stairs can make you anxious. Maybe you go out of your way to avoid stairs, which can certainly make life challenging! If you're tired of feeling afraid, make small steps towards managing your fear. With practice and the right mindset, you can approach stairs with confidence.

1

Turn a negative thought into a positive coping statement.

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  1. When you see or think about stairs you may automatically think something bad is going to happen. As soon as you notice yourself doing this, stop your thought and ask yourself if the thought is helpful to you. [1]
    • For instance, stop yourself if you think, "There's no way I can use those stairs—I will fall and end up in the hospital." Then, tell yourself, "I've used stairs in the past without getting hurt. I know it makes me anxious, but I can do this."
    • Don't try to ignore your fear—that will just make it worse. Instead, acknowledge that you're having those feelings, then work on letting go of the struggle. [2]
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4

Practice calming strategies.

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  1. [5] When you're approaching stairs, you may notice your heart rate increases and you feel nervous. To steady yourself before you go up or down the stairs, pause and take a deep breath in through your nose. Then, breathe out slowly through your mouth. You can also try to relax and focus on details around you. [6]
    • Mindfulness and breathing are forms of meditation, which can help you slow your heartbeat and relax as you face your fear.
    • Try to stay connected to the present moment—don't get caught up in thinking about things that have happened in the past or could happen in the future. [7]
5

Try exposure therapy to build your confidence.

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6

Cover the stairs with treads and add handrails.

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  1. If you're afraid of stairs that don't have handrails, install your own. The handrails can help you balance as you go up and down so you're less likely to fall. If your stairs are slippery, install rubber or non-slip stair treads to give you traction. [9]
    • If you're afraid of stairs that you can't modify, wear sensible shoes with good traction that are less likely to slip.
    • If you're installing your own handrails, ensure that they are at elbow height and that they extend past the first and last steps.
8

Do cognitive-behavioral therapy (CBT).

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  1. During your therapy sessions, you'll talk about past experiences, how you feel about stairs, and what thoughts go through your mind when you encounter them. Your therapist will ask you questions that challenge these beliefs so you can master your fear. [10]
    • For instance, you might say, "I fell down the stairs and hurt myself really badly when I was a kid. I just know I'm going to fall as soon as I try to use the stairs." The therapist may remind you that people use stairs all the time without injuring themselves.
    • Most cognitive behavioral therapy programs last for 5 to 20 sessions. You might do CBT one-on-one with your therapist or you'll be part of a group with similar fears.
9

Ask your doctor about anti-anxiety medications.

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  1. Talk with your doctor or psychiatrist about whether or not you'd benefit from taking medication while you're doing psychotherapy like CBT or exposure therapy. You'll usually only take these during initial treatment so you feel more comfortable. [11]
    • Beta-blockers can be useful since they decrease elevated heart rate and blood pressure. Your doctor or psychiatrist might prescribe antidepressants if you have severe anxiety that you're working through.
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Expert Q&A

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  • Question
    How can I train my mind to overcome fear?
    Evan Parks, PsyD
    Licensed Clinical Psychologist
    Dr. Evan Parks is a Licensed Clinical Psychologist and an Adjunct Assistant Professor at The Michigan State University College of Human Medicine. With over 25 years of experience, he specializes in helping people manage chronic pain through the Acceptance and Commitment Therapy (ACT) Approach at Mary Free Bed Rehabilitation Hospital. He also has experience working with others on topics ranging from stress management to mental flexibility. Dr. Parks is also the author of Chronic Pain Rehabilitation: Active Pain Management That Helps You Get Back to the Life You Love. Dr.Parks holds a BA in Theology from Cedarville University, an MA in Counseling Psychology from Western Michigan University, and a PsyD in Clinical Psychology from The Forest Institute of Professional Psychology.
    Licensed Clinical Psychologist
    Expert Answer
    Practice grounding yourself--when your mind is busy, distracted, and caught up with worries and concerns, it's easy to be more startled and jumpy. Take a look at your mind's activity while doing something basic, like watching traffic on a busy street. Ask yourself questions like "What do I hear? What do I see? What sensations do I feel? What do I smell?" By noticing your inside world while staying connected to the outside world, unexpected events can be noticed and accepted without a reaction of fear.
  • Question
    What causes phobias to get worse?
    Evan Parks, PsyD
    Licensed Clinical Psychologist
    Dr. Evan Parks is a Licensed Clinical Psychologist and an Adjunct Assistant Professor at The Michigan State University College of Human Medicine. With over 25 years of experience, he specializes in helping people manage chronic pain through the Acceptance and Commitment Therapy (ACT) Approach at Mary Free Bed Rehabilitation Hospital. He also has experience working with others on topics ranging from stress management to mental flexibility. Dr. Parks is also the author of Chronic Pain Rehabilitation: Active Pain Management That Helps You Get Back to the Life You Love. Dr.Parks holds a BA in Theology from Cedarville University, an MA in Counseling Psychology from Western Michigan University, and a PsyD in Clinical Psychology from The Forest Institute of Professional Psychology.
    Licensed Clinical Psychologist
    Expert Answer
    Our unhelpful mind may ask questions, like "What if something terrible is going to happen?" We end up focusing on this distress as we try to stop our mind from asking upsetting questions. In general, fear gets worse when we fight with our thoughts, and when we treat our thoughts and feelings as true, valid, and important.
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      • If you're afraid of falling, ensure that the stairs in your home are well lit. You may want to install lights near the stairwells so each step is illuminated.
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      • Britney

        Aug 4, 2021

        "I love the steps to overcome the fears. It helps to refocus. I may not be able to stop the fear, but now I have a ..." more
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