What is Agoraphobia?
Causes
The exact causes of agoraphobia are unclear, but it may be influenced by genetics, brain chemistry, and psychological factors. Many people develop agoraphobia after experiencing one or more panic attacks in places where they feel trapped or unable to get help. Traumatic events can also pave the grounds for the onset of agoraphobia in some people. Imbalances in neurotransmitters like serotonin seem to play a role as well.
Symptoms
People with agoraphobia experience severe anxiety about being in situations where escape is perceived to be difficult. This may include public transportation, open spaces, enclosed spaces, standing in line, or being outside their home alone. When in these situations, they suffer panic attack symptoms like a racing heart, dizziness, trembling, and feeling out of control. They will go to great lengths to avoid the feared situations.
Types
There are two main types of agoraphobia:
People with agoraphobia may fear both open and closed spaces. The condition ranges from mild to severe.
Treatments
Cognitive behavioural therapy (CBT) is the primary treatment for agoraphobia. It helps people examine their fearful thoughts and gradually approach feared situations. Anti-anxiety medications may provide short-term relief of symptoms. Exposure therapy also helps people safely face and overcome the situations they fear. Desensitization uses gradual exposure to relax the person and reduce their agoraphobic associations. With consistent treatment, most people with agoraphobia can achieve significant improvement.