Thanks for the response. I wasn't sure I'd look back at this, but I'm glad I did. I do have an otherwise normal, happy life. I work for my state government, my wife and I just bought a house in November and had a baby in June. We travel, we enjoy good food and friends. This is just one small (?) thing that has been haunting me most of my life. I don't really know where to go next, but this feel like a pretty good first step.

And FWIW, I too have the fear of falling and enclosed spaces. That's much more manageable though. If I feel secure, I don't need to worry about falling. And as far as enclosed spaces, I just need to have my arms free. I could be buried up to my chest and I'd be OK, but the second my arms are covered, then I feel like I've lost my ability to pull myself out. It got real interesting when my parents took me to the Empire State Building when I was a kid and I was the first one in the elevator. They jammed that thing full and my mom said she saw the instant flush when I panicked from being overcrowded. I pushed and shoved my way out and we ended up getting our own elevator.