OverviewAgoraphobia is a fear of being in situations where escape might be difficult or that help wouldn't be available if things go wrong. Many people assume agoraphobia is simply a fear of open spaces, but it's actually a more complex condition. Someone with agoraphobia may be scared of:
If someone with agoraphobia finds themselves in a stressful situation, they'll usually experience the symptoms of a panic attack, such as:
They'll avoid situations that cause anxiety and may only leave the house with a friend or partner. They'll order groceries online rather than going to the supermarket. This change in behaviour is known as avoidance. Read more about the symptoms of agoraphobia. What causes agoraphobia?Agoraphobia can develop as a complication of panic disorder, an anxiety disorder involving panic attacks and moments of intense fear. It can arise by associating panic attacks with the places or situations where they occurred and then avoiding them. Not all people with agoraphobia have a history of panic attacks. In these cases, their fear may be related to issues like a fear of crime, terrorism, illness or being in an accident. Read more about the possible causes of agoraphobia. Diagnosing agoraphobiaSpeak to your GP if you think you may be affected by agoraphobia. It should be possible to arrange a telephone consultation if you don't feel ready to visit your GP in person. Your GP will ask you to describe your symptoms, how often they occur, and in what situations. It's very important you tell them how you've been feeling and how your symptoms are affecting you. Your GP may ask you the following questions:
It can sometimes be difficult to talk about your feelings, emotions, and personal life, but try not to feel anxious or embarrassed. Your GP needs to know as much as possible about your symptoms to make the correct diagnosis and recommend the most appropriate treatment. Read more about diagnosing agoraphobia. Treating agoraphobiaLifestyle changes may help, including taking regular exercise, eating more healthily, and avoiding alcohol, drugs and drinks that contain caffeine, such as tea, coffee and cola. Self-help techniques that can help during a panic attack include staying where you are, focusing on something that's non-threatening and visible, and slow, deep breathing. If your agoraphobia fails to respond to these treatment methods, see your GP. You can also refer yourself directly for talking therapies, including cognitive behavioural therapy (CBT), without seeing your GP. Read more about talking therapies on the NHS If you're under 18, or want to get help for someone under 18, find out how to get mental health support for children and young people. Medication may be recommended if self-help techniques and lifestyle changes aren't effective in controlling your symptoms. You'll usually be prescribed a course of selective serotonin reuptake inhibitors (SSRIs), which are also used to treat anxiety and depression. In severe cases of agoraphobia, medication can be used in combination with other types of treatment, such as CBT and relaxation therapy. Read more about treating agoraphobia. Sexual Health AdviceThroughout this series we have help and advice on staying healthy, dealing with Sexually Transmitted Infections, the risks of each type of the most popular gay sex and what to do if the sex you have is not consentual. The topics covered in this series include:
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