When surfers talk about fear, it’s usually about drowning, rocks, wipeouts, shallow reefs, sharks, or getting held underwater in a multiple-wave hold-down nightmare.

Interestingly, you rarely hear about fear of heights in surf talk.

But the truth is that acrophobia exists in roughly 3-6 percent of the population and overlaps with a broader group of people who have visual height intolerance, that is, around 28 percent of adults.

Several studies also consider that women are about twice as likely as men to meet full acrophobia criteria.

Just a side note: vertigo is often mistakenly used to describe the phobia of heights, but it is something scientifically different.

So, we’ll adopt the term acrophobia, originating from the Greek “ákron,” meaning “peak, summit, edge,” and phóbos, “fear”.

In that case, what happens when this uncontrolled fear is transported from the top of a tall building or a bridge into the surf?

Why do some surfers get anxious or freeze when dropping into medium or larger waves (excluding the Nazaré-like type), even when the danger is less obvious than a small cliff?

A Wave as a Tall Platform

Many of the things that trigger acrophobia – steep visual drop, the feeling you might fall, imbalance, loss of confident control – take place in the lineup or take-off spots.

Imagine being at the crest of a wave, looking down.

The water in front of you drops sharply, maybe the lip looks thick, the face is steep, maybe the wave is about to detonate below.

Your eyes see a steep incline, a potential fall; your stomach tenses, your knees feel rubbery, and your balance senses shift.

That moment of commitment – pushing to lean forward, trusting your pop-up, trusting the board – is vulnerable if parts of your brain are tagging that drop as “height danger.”

Several surfers have described this exactly in online forums: one says they get nauseous, lose sight of direction, and feel like the wave face is an un-jumpable platform.

Another says their fear “makes me chicken out every time, so I just stay home.”

Can you imagine staying home because you cannot imagine yourself taking off on a normal five or six-foot wave?

Let’s also consider that when you’re about to take off on a five-foot (1.5-meter) wave, your eyes will be around five feet above the crest, meaning that the brain will actually “measure” around ten feet (three meters) of height.

What Causes Acrophobia

To understand how height fear shows up in surf settings, let’s review what scientists think causes acrophobia:

1. Evolutionary / Innate Sensitivity

Humans may be wired to treat falling from height as extremely dangerous. So, in some people, this ancestral wariness becomes overactive.

2. Learned or Traumatic Experience

A prior fall, a slip, a traumatic exposure, or observation of someone else falling can imprint that heights are dangerous. Over time, that reaction generalizes.

In surfing, a nasty wipeout or being tumbled violently might act like that traumatic seed. That memory could generalize: “All drops equal danger.”

3. Cognitive Biases and Catastrophic Thinking

Once fear is wired, the mind may exaggerate risks, misinterpret safe conditions as threatening, and amplify mild discomfort into panic.

4. Balance, Sensory, and Body-Feedback Wiring

Height fear is not just mental.

People with acrophobia often show stiffened muscles, altered balance, and reduced head/eye scanning when exposed to heights.

In surf, if your body tenses up, your sensory input changes, and your brain becomes hypervigilant to small “falls” or wipeouts.

That’s a bad recipe when you want fluid movement and trust in your body.

How Height Fear Can Sabotage Your Surfing

Taking acute acrophobia into the lineup is complex.

The consequences are several, including freezing or hesitating more than you should during drops when you must commit, too upright or stiff postures as a result of the body locking up to guard against “falling,” or even reduced vision and situational awareness.

The avoidance or self-limiting behavior could reach a point where surfers even admit that “the fear makes me chicken out every time, so I just stay home.”

There’s also negative self-talk or loss of confidence mid-wave.

“I begin from a place of doubt rather than trust in my own abilities,” one surfer confessed.

Finally, if fear is draining mental energy just to manage the take-off, you have less bandwidth for reading waves, body mechanics, and, ultimately, having fun.

After all, isn’t surfing all about spending a good time in the water?

Treatment and coping: How to Deal With Acrophobia

Many surfers have lived with the fear of heights for most of their lives. The good news is that there are many ways to reduce or manage this fear.

Some of them are mental or psychological; others are practical in the water. Here are techniques and paths that have helped others, slightly adapted for surfers.

Cognitive-Behavioral Therapy (CBT)

CBT is one of the most solid tools. It helps you identify the negative thoughts like “I’ll pitch forward and break my neck,” and challenge them.

The method replaces them with realistic thoughts like “I have done smaller drops,” or “It’s okay to get a bit scared; that tension is part of surfing.”

Exposure in a Graded Way

With this technique, you don’t start at overhead reef breaks. You start with small drops and forgiving waves.

You could watch videos of surfers dropping, imagine yourself riding the drop, and then paddle in on gentler waves with slightly steeper faces.

Gradually increase steepness, size, and speed.

This is actually the same basic idea used in phobia therapy for heights. What happens is that the sensations get less overwhelming with repetition.

Also, virtual reality has been used in research to simulate heights and help people adapt.

Indoor Rock Climbing

One of the great things about indoor rock climbing is that it can help people with a fear of heights deal with their phobia by addressing it in small increments.

If you’ve never tried, we at SurferToday encourage you to do it.

We were able to go from fearing grabbing a hold placed six feet (1.8 meters) above the ground to being able to get to the top of the wall in just a morning of practice.

It feels great. From that moment on, once you conquer that height, there’s no going back.

Visualization and Mental Rehearsal

Seeing yourself dropping cleanly, riding through, and getting out also works out pretty well.

For instance, picture the surfboard angle, the weight shift, and the line of take-off.

In your mind, run through waves of increasing size, feel yourself standing up, and the board underfoot.

Interoceptive Training and Stress Tolerance

Practicing being okay with the physical symptoms of fear, like heart racing, lightheadedness, and shaky knees.

Use them as information, not signals to abort. If you can tolerate the feeling of fear and still act, the fear loses power.

And if it makes you feel a bit better, there are even worse fears, for example, cymophobia, the pure and simple fear of waves.

So, there’s always time to overcome or tone down acrophobia. It starts and ends with you.

Words by Luís MP | Founder of SurferToday.com