April 1, 2025- Agoraphobia is an anxiety disorder that causes great discomfort with someone whenever they are in certain situations that cause them extreme anxiety. It generally ranges from such fears as being with persons, being in wide open spaces, driving in a car, standing in line, using public transportation, being in an elevator, being on a plane or many other situations where the person becomes very uncomfortable being around people or in certain anxiety producing situations. When you add panic attacks, which cause symptoms that a person can actually feel they are dying with a heart attack, it is evident that this is a very difficult situation to live with. A further complication is that some persons who have panic attacks often will go to the emergency room in the hospital because they actually believe they are dying. Typical symptoms of panic attacks include heart racing/palpitations, trembling, difficulty breathing, sweating, chest pain, shortness of breath and sometimes with the fear of dying. That is how severe the symptoms can be. Persons with agoraphobia also have many of the same symptoms of persons with social anxiety. Agoraphobia is a broader problem area because it can relate to almost any situation with or without persons. The unfortunate result of agoraphobia with panic attacks is that persons become afraid of being around other persons and can lose contact and become isolated. They also fear losing control in public or being around other persons. They may have feelings they are weird or strange and do not want to be around persons. When they do, the symptoms of panic attacks come back. They also will avoid many places where they have had difficult problems of the past such as a large or small store,a mall,an elevator, a certain seating in a car or an office or any possible situation that one can imagine. I personally have been amazed how many things can cause agoraphobia with panic attacks. This only leads to their world becoming more and more narrow. Comorbid conditions that exist with agoraphobia with panic attacks would include depression, social anxiety,OCD along with many physical symptoms that can come from having this intense emotional pressure from fears and panic attacks. In order for one to have the diagnosis, the characteristics need to have been in place for six months. Women tend to be diagnosed twice as often as men. Successful treatment usually includes some combination of medication,self help and mental health counseling that includes some aspects of cognitive behavioral therapy treatment and exposure therapy. The number of persons with agoraphobia with panic attacks are probably somewhere around 2,000,000 in the United States. While this number may not seem high, it does if you are one of the persons with this condition. You know how debilitating and difficult this can be from both a physical and emotional perspective.