Those that suffer
from agoraphobia have to deal with the fear of being in a place where being
able to escape would not be easy for them. They would try to avoid going to
places such as theaters, malls and especially airplanes. Anywhere that would
make them feel confined and make them unable to escape should they have a panic
attack would be avoided if at all possible.
If you have agoraphobia
you may be afraid to get into a situation that allows no escape and may find
yourself scared to leave your home or move freely about. It is believed that of
those with a panic disorder, agoraphobia affects about one out three people.
Causes of a Panic
Attack with Agoraphobia
One cause may be
stress as many people experience their first attack when dealing with a very
stressful period of their life. It could be the death of someone very close to
them, the loss of a job or going through a divorce.
Genetics may play a
role in whether you have panic attacks or not. Some people that have been
diagnosed with this disorder also have a family member who has also been
diagnosed, but there are many that do not.
Development of
Attacks
Panic attacks can
happen without any warning. It is believed that many people had their first
panic attack while away from home. As more attacks happen you may be inclined
to avoid more and more places you believe are triggers for your attacks. Even
if your attacks are now more infrequent you may still become anxious in those
situations.
Some of the places
you might try to avoid are crowds, planes, high places such as bridges and malls
or any other location that makes you feel confined and unable to escape. Other
symptoms you may experience are fear of losing control, a detachment from
others, helplessness, out of body feeling and not wanting to leave home.
Panic Attack
Symptoms
Your panic attack
may be at its strongest in the first ten or twenty minutes. There are some
symptoms that can linger longer, sometimes up to an hour. When you have an
attack your body will react as though it really is in danger. You will feel
your heart racing and pounding in your chest and you will be faint, sweaty and
dizzy.
You may also feel as
if you are choking because of your shortness of breath. You might think you are
having a heart attack, especially during your first couple panic attacks. Many
have the sensation of losing control of their body.
Diagnosing Panic
Disorder with Agoraphobia
It can take time to diagnose
a panic disorder because the symptoms of this disorder with agoraphobia are
similar to other conditions. You should see your doctor as your first step to
rule out any other underlying problems by way of a physical exam. It is
important to rule out any medical problems you may have. Conditions that could have
some of the same symptoms as panic disorders are hormonal imbalance, heart
trouble or even substance abuse.
There are
three criteria one must meet to be diagnosed for panic disorder. They are having
frequent and unexpected attacks, at least one of which is followed by worrying
about another attack happening. Also Illness, alcohol, drugs or any other
psychological problems are ruled out so they are not the reasons for the
attacks.
Diagnosing
agoraphobia has two criteria. One is fear of being someplace difficult to get
away from if an attack occurs. Another is avoiding places that you feel might
trigger a panic attack due to previous experience.
When you talk to a
doctor about your problems be honest with them. They can not help you if they
do not have all the facts about your situation. Also check out programs that
you can use for self help. You may be able to bring your attacks under control
by methods that you can use one your own.