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Agoraphobia

What is agoraphobia?

Agoraphobia is a fear of being in situations where escape might be difficult, or where help would not be available if things went wrong. It is often thought of as a fear of open spaces, but it is more complex than that.

People with agoraphobia may fear public transport, crowds, shops, queues, or simply leaving home. It often develops after one or more panic attacks, when a person starts to fear having another attack in a place they cannot easily get away from.

What are the signs of agoraphobia?

1. Situations people often fear:

  • Using public transport.
  • Being in open spaces, such as car parks or large sites.
  • Being in enclosed spaces, such as shops or cinemas.
  • Standing in queues or crowds.
  • Being outside the home alone.

2. Psychological symptoms:

  • Fear of having a panic attack in public.
  • Fear of losing control or embarrassing yourself.
  • Feeling you cannot cope without someone with you.

3. Physical symptoms (often during panic):

  • Rapid heartbeat and breathing.
  • Sweating, trembling, dizziness or nausea.
  • Chest pain or tightness.

4. Behaviour:

  • Avoiding situations that trigger fear.
  • Only going out with a trusted person.
  • Struggling to travel to work or leave the house.

What are the statistics for agoraphobia in the UK?

Prevalence: Agoraphobia is less common than some other anxiety disorders. Studies suggest it affects around 1 to 2 in 100 people at some point in their lives.

Links with panic: Many people with agoraphobia also have panic disorder.

Treatment: CBT, including gradual exposure to feared situations, is very effective. Therapy can often be started by phone or online for people who find it hard to leave home.

Where to get help with agoraphobia UK?

Always call 999 if you are in need of urgent help.

Anxiety UK:
Website: https://www.anxietyuk.org.uk/
Helpline: 03444 775 774

No Panic: Support for people with panic attacks, phobias and anxiety.
Website: https://nopanic.org.uk/

Mind:
Website: https://www.mind.org.uk/
Infoline: 0300 123 3393

NHS Talking Therapies: You can refer yourself online in England, and many services offer phone or video sessions.

Samaritans:
Helpline: 116 123 (24/7, free to call)

Recovery from agoraphobia is very possible, one step at a time.

Conditions and diagnoses

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