What is Agoraphobia and How is it Treated?
Agoraphobia is commonly assumed to be a fear of open spaces. This may be so but isn’t the whole story. There are agoraphobia sufferers who live on farms and who like nothing better than to enjoy a ramble through their own fields. The condition is better thought of as “a fear of being rendered helpless in a location or situation from which it is difficult to escape without embarrassment”.
This is quite a mouthful. In simpler terms it just means that people who have agoraphobia will start to feel uncomfortable, to the point of panic, if they are in a public place. As they are able to avoid the panic by avoiding public places then this is what they do. Eventually they are afraid to move outside of their own property for fear of precipitating a panic attack.
Obviously this kind of affliction is extremely restrictive and a person who has agoraphobia misses out on such a lot that life has to offer. So how can they be helped?
The most common form of treatment for agoraphobia, (and also for panic attacks generally), is Cognitive Behavioural Therapy or CBT, usually under the supervision of a psychologist. CBT aims to get a person to challenge their way of thinking about the problem that they are trying to overcome and, by so doing, change the behaviour relating to that problem.
Although CBT can help to change a person’s thoughts about agoraphobia, sooner or later he or she is going to have to literally step outside of their comfort zone. This involves taking short visits to a location that normally brings on a bout of agoraphobia or a panic attack. The process is called Exposure Therapy and is designed to get the sufferer to gradually get used to these stressful situations without having the accompanying panic-inducing thoughts about them.
This is where the sufferer’s family and friends can play a major role in helping the person to defeat their agoraphobia. The agoraphobic will, of course, need the support and reassurance of people they know and trust if he/she is to push out the boundaries.
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