Fear can give you thoughts that the physicality of the situation is irrelevant. Fear can make you go insane, make others seem insane, it can give you the feeling that everything is dying but still in motion as if they are still alive.
The thought of the very thing you are afraid of can turn your state of mind psychedelically negative for happiness, pleasure, and anything positive.
When you are afraid of something, you have a fear of it. Witch it’s real of fictional your imagination will make it feel real or worse than what it actually is.