Agoraphobia With Panic Attacks

What is agoraphobia with panic attacks?

A panic attack is a sudden feeling of fear that has no reasonable cause. This causes symptoms such as rapid heartbeat and chest pain.

Agoraphobia is a type of anxiety disorder that can occur on its own or may accompany other types of anxiety disorders such as phobias, panic disorder or social anxiety disorder. It is often described as a fear of being in public, although this is not a completely accurate description. Agoraphobia makes you want to avoid situations due to the fear that "escaping" from these situations can be difficult. People often also fear that help is not available if the person develops panic-like symptoms or other disabling or embarrassing symptoms. This can make you afraid to leave the house. It could also make you fear certain places.

The symptoms of agoraphobia with panic attacks

Panic attacks do not always lead to agoraphobia. Agoraphobia can be more preventable if attacks are treated immediately.

Some symptoms of panic attacks include:

  • Chest pain

  • an intense feeling of fear

  • fear of dying or losing your mind

  • hot flashes and chills

  • Accelerated heart

  • rapid breathing and shortness of breath

  • trembling or trembling

  • Paresthesia (feeling of numbness or tingling)

  • derealization (feelings of unreality)

  • depersonalization (feeling separated from oneself)

  • can not swallow

  • Stomach ache

  • fear of losing control or "going crazy"

  • affraid to die

When there is agoraphobia, you may also have symptoms such as:

  • feel surreal

  • Moody

  • fear of public places

  • afraid to leave your house

  • symptoms of depression

  • Feeling isolated

  • fear of being alone

Causes of agoraphobia with panic attacks

The exact causes of panic attacks with agoraphobia are not completely understood. Usually, it comes from having repeated panic attacks. If you have had previous panic attacks, you may be afraid of having another panic attack. You can begin to avoid situations that could cause such attacks. This fear can contribute to the development of agoraphobia.

Panic attacks and agoraphobia usually begin in late adolescence or early twenties. They can happen at any age. Panic disorder is more common in women than in men.

Diagnosis of angostia with panic attacks

When you have a panic attack, it can be very scary. You may think that you are having a heart attack or you are going crazy. Your health care provider will diagnose a panic attack if you have these symptoms and there is no obvious physical cause. Signs of drug use, alcohol use or side effects of medications are used to rule out a panic attack.

Your health care provider will also look for physical signs that could cause your symptoms. Tests may be done to detect disorders of the heart, lungs, or nervous system. If you are diagnosed with a panic attack, you are likely to be referred to a mental health professional. Your mental health professional can help determine the cause of your panic attack.

Treatment options for agoraphobia with panic attacks

There are a number of treatment options for panic attacks. They vary according to the cause and severity of the symptoms. People are usually treated with medications and cognitive behavioral therapy.

Cognitive behavioral therapy (CBT)

CBT is a special form of therapy. It works to change the way a person with panic disorder feels about their condition. In addition, CBT helps you understand the distorted feelings you have during a panic attack. In general, 10 to 20 sessions of CBT are recommended. Therapy can continue until you can return to the places that cause anxiety without having an attack.

A cognitive-behavioral therapist can help you re-train your thinking about fear situations. This helps reduce your fear and the symptoms of agoraphobia. You will also learn stress reduction and relaxation techniques. Deep breathing and meditation can help calm anxiety that, if left untreated, could cause a panic attack.


Medications may be prescribed to combat feelings of anxiety. These medications are used for people who have been diagnosed with agoraphobia or panic disorder. They are not usually prescribed after having a single episode of panic.

Some medications used for panic disorders include:

  • Selective serotonin reuptake inhibitors (SSRIs) (antidepressants): medications in the SSRI class are approved by the FDA to treat depression. They are also used to combat feelings of anxiety and other experiences that alter mood. These effects can help them treat panic disorder and agoraphobia. The commonly prescribed SSRIs are Celexa (citalopram), Paxil (paroxetine), Zoloft (sertraline) and Prozac (fluoxetine).

  • Serotonin and norepinephrine reuptake inhibitors (SNRIs): this is another class of antidepressants. The commonly prescribed SNRIs are Cymbalta (duloxetine) and Effexor (venlafaxine).

  • Benzodiazepines: These drugs reduce anxiety. They work quickly to relieve panic symptoms. However, they can be addictive. Therefore, they are usually prescribed only for a short time. Xanax (alprazolam), Valium (diazepam) and Klonopin (clonazepam) are some examples.

Complications of agoraphobia with panic attacks

Some medications used to treat panic attacks and agoraphobia are addictive. You should not stop taking these medications without the supervision of a health care provider. Other complications of these medications may include:

  • suicidal feelings

  • depression

  • Increased risk of alcohol and drug abuse.

Forecast of Agoraphobia with Panic Attacks

Most people recover well with a treatment that includes medications and CBT. If you have a panic disorder, do not be afraid to ask for help.

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