Background: Sarah is a 28-year-old woman who works as a graphic designer in a busy marketing agency. She lives alone in a small apartment in the city. Sarah has always been an independent and outgoing person, enjoying socializing with friends and exploring new activities. However, over the past few years, she has noticed a growing discomfort that has started to interfere with her daily life. Symptoms: Sarah experiences an intense fear and anxiety whenever she encounters spiders. Even the mere thought of spiders triggers feelings of panic and dread. She goes to great lengths to avoid situations where she might encounter them, such as avoiding hiking trails or wooded areas, and meticulously checking her apartment for any signs of spiders before going to bed. When faced with a spider, Sarah's heart races, she feels nauseous, and her palms become sweaty. She often experiences difficulty breathing and a sense of impending doom. Presentation: During a recent meeting at work, a coworker brought in a potted plant that had a small spider web in it. Sarah's immediate reaction was one of extreme distress; she started to sweat profusely, her face turned pale, and she felt as though she couldn't breathe. She quickly excused herself from the meeting, claiming she felt unwell. Later that day, Sarah's supervisor found her visibly shaken and on the verge of tears in the restroom, unable to explain what had upset her.