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Fear of Open Spaces: Agoraphobia Causes, Signs & Treatments


What Is Agoraphobia?

Agoraphobia is an anxiety disorder that consists of a fear of being in situations where escape might be difficult or embarrassing, or help might not be available in the event of a panic attack or panic-like symptoms. It is often associated with a fear of open spaces, crowds, or leaving the safety of home. 

People with extreme agoraphobia may experience intense fear, panic, and anxiety when in open or public spaces. This fear may lead to avoidance of these environments, which in turn can lead to social isolation and a decreased quality of life.

People are walking in the street that triggers the Agoraphobia

Examples of types of agoraphobia include:

  • Fear of being alone outside of the home
  • Fear of being in public places or public transportation
  • Fear of being on bridges or escalators
  • Fear of being in stores or other enclosed public spaces
  • Fear of being in large crowds

Treatment for agoraphobia includes cognitive-behavioral therapy, medications, and lifestyle changes.

Causes of Agoraphobia

Agoraphobia is an anxiety disorder characterized by intense fear and avoidance of open or public spaces. The fear can be so severe that a person may refuse to leave the safety of their home. People with agoraphobia may be afraid of being in a crowded place, standing in line, being in a public restroom, or being outside alone. 

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shopping mall crowd that trigger the agoraphobia

Agoraphobia can cause social anxiety and panic attacks and is most often seen in people with bipolar disorder. People with agoraphobia may also have social anxiety. Developing agoraphobia might make people unable to go to work, school, or even go shopping, leading to a lack of independence and reduced quality of life. 

It is believed to develop due to a combination of environmental factors and genetic predisposition and is often triggered by a traumatic event or stressful situation. Treatment is available and includes psychotherapy, medication, and lifestyle changes.

Symptoms of Agoraphobia

Individuals who suffer from agoraphobia experience extreme fear and anxiety in situations where they may feel trapped or unable to escape. 

Common symptoms of agoraphobia include:

  • Feelings of panic
  • Heart palpitations
  • Difficulty breathing
  • The overwhelming sense of dread
  • Experience dizziness
  • Shaking
  • Sweating
  • Nausea

Diagnosing agoraphobia is through physical and psychological evaluation, which includes assessing the individual’s overall health and mental state. It is common for people with agoraphobia to experience panic attacks, which can be triggered by exposure to large crowds, wide open spaces, or unfamiliar places. 

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Treatment of Agoraphobia

People with agoraphobia often feel overwhelmed in these environments and may experience panic attacks or other physical symptoms. Treatment for agoraphobia can involve using service dogs, therapy, medications, breathing exercises, and other coping strategies. By working together with a mental health professional, it is possible to manage agoraphobia in order to enjoy a better quality of life.

  • To tackle agoraphobia, lifestyle changes are recommended, such as regular exercise, eating healthy, and avoiding drugs, alcohol, and drinks with caffeine. 
  • During a panic attack, self-help techniques like staying in the same place, focusing on something visible, and deep breathing can be used. 
  • If these treatments are not effective, you can talk with therapies, or prescribe medication, which is also used for anxiety and depression.
  • In more severe cases, a combination of medication and other therapies, such as Cognitive Behavioural Therapy or relaxation therapy, may be necessary.

To Diagnosing Agoraphobia, you can ask yourself the following questions:

  • Do I feel anxious or fearful when I am in a crowded place or open space? 
  • Do I feel like I need to have a companion with me when I’m in these places? 
  • Do I have difficulty leaving my home, or do I experience panic or anxiety when I do so? 
  • Do I have difficulty traveling or feel overwhelmed when I have to go to an unknown place? 
  • Do I feel like I need to avoid public places or large open spaces? 
  • Do I become overwhelmed and anxious when I think about having to go out in public?

Disclaimer: This website is provided for educational and informational purposes only and does not constitute providing medical advice or professional services. The information provided should not be used for diagnosing or treating a health problem or disease, and those seeking personal medical advice should consult with a licensed physician. Always seek the advice of your doctor or other qualified health providers regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on Hello Minaste’s website. If you think you may have a medical emergency, call 911 or go to the nearest emergency room immediately.

Blog Cover Photo by CHUTTERSNAP on Unsplash

Photo by mauro mora on Unsplash

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Photo by Anna Dziubinska on Unsplash


I am an expert with an interest in spiritual matters 🔮. I have been doing research to discover the mysteries of the universe since I was a child. Join me in my journey to make sense of the past, present and future using the sky, stars and tarot cards! This blog is not just for me, but to support your spiritual journey and transformation :)

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