Agoraphobia

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This is an irrational fear or intense anxiety about being in places where it is difficult to escape or where it would be difficult to get help in the event of a problem. It is often associated with panic attacks.

Although the cause of the condition is unknown, it has been linked to genetic, personality and environmental factors.

Symptoms experienced by patients include intense anxiety and avoidance. Fear of being left alone, fear of losing control, avoiding large crowds, being alone at home, driving, wide open spaces, being far from home, being in enclosed spaces, etc.

The fear or anxiety is disproportionate to reality and is continuous, lasting up to 6 months or more.

Diagnosis is made by means of a guided interview.

Treatment combines psychological and pharmacological therapy with anxiolytic and antidepressant medication.

Bibliographic references
  1. Randi E McCabe. Agoraphobia in adults: Epidemiology, pathogenesis, clinical manifestations, course, and diagnosis. UpToDate. Junio 2016
  2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), American Psychiatric Association, Arlington, VA 2013.
  3. Wittchen HU. Agoraphobia and panic. Prospective-longitudinal relations suggest a rethinking of diagnostic concepts. Psychother Psychosom 2008; 77:147.
  4. Fava GA. Agoraphobia is a disease: a tribute to Sir Martin Roth. Psychother Psychosom 2008; 77:133.
  5. Wittchen HU. Agoraphobia: a review of the diagnostic classificatory position and criteria. Depress Anxiety 2010; 27:113.
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Fear of open spaces


    Afraid of being in a crowd


    Fear of losing control


    Fear of enclosed spaces


    Urge to flee out of fear

Symptoms to watch out for

Unable to fall asleep or wake up earlier than usual
Weight loss or increase
Pessimistic view of life or the future

Self-care

Maintain a balanced diet: increase fruit, vegetable, and white meat consumption and reduce the intake of fatty meals and fritters.
Engage in regular physical activity, adapted to age and physical condition, at least 3 times a week.
Check with your general practitioner for psychotherapy and treatments.
Check with general practitioner about the prescription for anxiolytics.
Often take part in activities that help reduce anxiety levels (yoga, tai chi, meditation).
Reduce situations that produce psychological stress.