Dear @Sundar,  dealing with vertigo or acrophobia can be achieved by following the following 5 ways; they are explained in the report at the link:

http://www.wikihow.com/Overcome-a-Fear-of-Heights

"Alfred Hitchcock knew a thing or two about the silver screen, but the man’s medical vocabulary left much to be desired: Contrary to what his iconic film would tell you, vertigo isn’t at all related to heights. It’s actually a sub-category of dizziness, which is a catchall term used to describe unsteady sensations."

"Doctors break down dizziness into three subcategories: presyncope (feeling faint or light headed), disequilibrium (feeling off-balance) and the more familiar vertigo, defined as the sensation of motion where none actually exists. Different people experience vertigo in different ways; for some the world might be spiralling around them and others might be spiralling around the world."

"Treatment can take one of three different forms. Sedatives such as Ativan or Lorazepam are commonly prescribed, because they mask the symptoms of BPPV. They don’t, however, affect the course of the disease. For people with severe vertigo, brain surgery may be required, although it’s only recommended for those with highly recurrent, entirely disabling episodes. But for up to 95 percent of sufferers, the most effective treatment is the Epley manoeuvre, a non-pharmaceutical procedure discovered fewer than 20 years ago. In fact, because the manoeuvre is still relatively new, patients see an average of three doctors and incur average costs of $2, 600 US in prescriptions and missed work before they receive the proper treatment, according to a U.S. study."

“The Epley manoeuvre is a way of rolling the patient such that you get those crystals from the semicircular canal back to the saccule, where they’re supposed to be,” Bromwich describes.

http://www.besthealthmag.ca/best-you/health/how-to-cope-with-vertigo

Acrophobia (although not always) is triggered by an extremely negative encounter from the past. In some cases, the mind has seemingly, without basis, created the fear. By exposing the root cause, you will be able to remedy the problem by easily exchanging harmful triggers. You have not been able to prevent your feelings of fear because you have not been given the methodology to change your feelings and associations.

• Individuals who possess tendencies of apprehension

• People characterized as skittish, energetic, easily upset, nervous

• Someone who deals with adrenal insufficiency

http://www.changethatsrightnow.com/acrophobia/

 "For people with severe vertigo, brain surgery may be required, "

Vertigo is only very rarely associated with brain damage, and then only with neurological signs and symptoms. It is essentially an ear disorder.  So, did the website mean ear surgery?

"Acrophobia... is an extreme or irrational fear of heights"

I think it is a physiological disorder of the vestibular system.  This is normally compensated for by relying on an alternative spatial map of the environment created via the eyes, but, when high up above the ground, visual information starts to get unreliable.   Hence acrophobia is not irrational, athough there are often large superimposed secondary fear reactions.

My active and fearless gundog developed acrophobia in his old age (he cringed and cowered when on top of a dam).  He was not neurotic, nor suffering from unresolved psychic conflicts.  Also, as a child I climbed to the tops of tall trees without problem, but when I tried more recently I became quite queasy.  I also occasionally get motion sick, which I never did as a youngster.

"In some cases, the mind has seemingly, without basis, created the fear. By exposing the root cause, you will be able to remedy the problem"

There is no evidence that acrophobia is a disorder of the mind.  It is likely a disorder of the ear which sets off powerful and primitive reflexes with which the mind has to come to terms.

There is a general untested assumption, at the basis of psychoanalysis for example,  that progress is impossible without exposing root causes.  However, there may not be a root cause, or the wrong one may be imposed by the therapist, and there are plenty of successful symptomatic medical treatments where the cause of disease is still unknown or irrelevant, eg drugs for psychiatric illnesses, aspirin for headache, dentistry, etc. 

Once we visited an entertainment park in Chennai (India) and our entry tickets included some "fun rides". My family was interested in visiting a 'roller-coaster' for a free ride (one ride comes with the entry ticket), but they were not sure about it as they have more worries about 'big heights' than myself. I walked alone to make enquiries and I made enquiries in English. The fellow saw my entry ticket, punched it (?) and asked me to sit in a place. I thought he was busy with some work and he would answer my query at the earliest. I took the single seat he offered, and the next second I got very scary. The seat I was sitting was slowly moving forward. I heard some sounds from behind, and then only I realized that I was sitting on the first seat (which was unoccupied) in the roller-coaster in that entertainment park and the roller-coaster was moving. It was too late for me to get down also. It was a very scary experience for me, especially with some vertigo-like fear! Luckily, after a few minutes, the roller-coaster came down. I was searching for the guy who asked me to sit in the first seat, but when I went there, another guy checked at my ticket and said - "Just one free ride only!"

Before treatment psychiatric and psychological diagnosing is needed. After exluding somatic causes of vertigo (eg. when present not only during anxiety attacks) we start psychological interventions (cognitive-behavioural or psychodynamic up to needs) and if anxiety seriously impairing normal functioning - antidepressive treatment (SSRIs in most of cases). All treatment should be planned for months/years especially when symptoms are still present. I understand your question as a clinical issue :)

Take care. DS

There is no specified effective pharmacological treatment to get rid of vertigo. Nevertheless a patient can be supported through an acute incident of vertigo with short-term use of vestibular sedatives such as benzodiazepines, antihistamines or prochlorperazine. Antiemetics and bed rest are also useful. The evidence of efficacy of the vestibular sedatives is based on experimental laboratory animal research which shows reduced vestibular neural activity in response to these drugs. Clinical observation of this efficacy is anecdotal and there are no controlled trials. Patients with chronic or recurring vertigo are commonly treated with betahistine and/or prochlorperazine although there is no evidence of the drugs' long-term efficacy. These patients will often do well with vestibular adaptation exercises or a formal vestibular rehabilitation program to help manage their symptoms. The drugs prescribed for acute vertigo should be used sparingly as they may impair the vestibular adaptation process. The most effective treatment of vertigo is treatment of the specific cause if it can be identified. Gentle positional vertigo can be treated with simple physical manoeuvres, although recurrences are frequent. Migraine is an important diagnostic consideration in patients presenting with dizziness, whether they have an accompanying headache or not. Although there is no definitive diagnostic test for migraine, there may be a suggestive clinical profile. The response to migraine therapy may strengthen the diagnostic impression.

You say "It belongs to a category of specific phobias, called space and motion discomfort that share both similar etiology and options for treatment." So you are already well aware of treatment options. Is it that you want to find out what care givers in general do to help such patients? You will not get statistically significant findings by asking questions in this very tiny forum.

In my case, I am not a psychotherapist. I am a meditation teacher who also conducts research on meditation, particularly an effective and effortless form of meditation called transcending.

Only one or two of my 2000 clients have complained of vertigo or acrophobia, either before or after taking the Natural Stress Relief (NSR) course. Neither was under current treatment.

Of these, both found at least some relief through the practice of NSR (a mental technique that systematically eliminates stresses stored in the nervous system). Unfortunately, with such a tiny sample size and with a lack of quantitative data, my experiences are not likely to be of help for you in terms of statistical evidence. Most of my clients who complain of mental health conditions complain of anxiety. These clients get speedy and permanent relief, which is why several psychiatrists and doctors refer some patients to NSR.

In terms of patient care, though, I suggest that NSR should be considered by all therapists as an adjunct in the treatment of all psychological disorders, since eliminating stresses is of great value for anyone, even for healthy people. Your experience with your own patients practicing NSR may convince you more than statistics anyway.

"After exluding somatic causes of vertigo (eg. when present not only during anxiety attacks) we start psychological interventions"

This whole psychosomatic approach is based on a touching faith in modern medicine, ie  if a doctor does not diagnose a physical condition, the problems must be of psychological origin.  Leaving aside the possibility (surely probability) that we do not know all the causes of vertigo and hence how to diagnose normality, what about the possibility (which I think is very common) that there is a temporary dysfunction of the vestibular system, due to transient drops in inner ear pressure for example. No amount of testing in between attacks will pick this up.

As you will see from recent publications (group of Thomas Brandt), patients with acrophobia tend to freeze their gaze to an arbitrarly chosen point in space and avoid eye movements.

One might postulate, that a re-learning of oculomotor behavior during this "phobic freezing" might be an appropriate CBT therapy.

In the US vertigo is generally understood as a medical condition evaluated and treated by neurology.  Acrophobia, literally fear of heights, is a psychological condition with unconscious determinants.  In my experience  - 40 years as a psychiatrist - fear of heights (fear of falling, really) is reasonably well-treated with a combination of psychodynamic psychotheapy and behavioral interventions.

Hitchcock's movie "Vertigo" brought an awareness worldwide about this phobia.

Vertigo was closely related to the main theme of the movie, and appropriate title.

I thank all friends for explaining about Vertigo and Acrophobia..

"In the US vertigo is generally understood as a medical condition evaluated and treated by neurology"

In the UK vertigo is generally understood as a condition of the inner ear and evaluated and treated by otologists or ENT surgeons.

"Acrophobia, literally fear of heights, is a psychological condition with unconscious determinants"

My active and fearless gundog (Collie/Spaniel) developed acrophobia in old age (cringing when of top of a dam).  What unconscious determinants would have been operating in this case?  I also have become acrophobic in old age, which I take to be due to degeneration of my balance receptors in my ear, which is under control as long as I have reliable visual fixation.

See also this extract from the Service Dog Central Community website:

"Re: Afraid of heights?    « Reply #7 on: May 12, 2011, 07:49:10 PM »

Between now and about a year, you will see plenty of oddball fear reactions. A lot have to do with sensory distortions that occur as pup's jaw and ear canal take some huge leaps in growth.

Look at some pictures and think about how big her skull was just four weeks ago. Now think how big it is now. A lot of the difference is where her inner ear and related nervous array (balance, spatial relations) is located.

Act like nothing's happening. Go ahead and carry her when she freezes up...

I'm assuming you are talking about a balcony in your apartment as being a problem too? I'd simply block this area from view temporarily...

Meanwhile I very much agree with exercises to help teach her brain to translate the world around her. Anything that involves novel contact and positions will help...

Some of this might not apply so much. Training Border Collie puppies tends to be like bowling with a pool cue. Just when you think you have it made with your genius puppy, their brains drop out their ears sometime between four and six months and for the next six months you wish you had gotten a nice Rottweiller."