Agoraphobia is the fear and anticipatory anxiety of being trapped in situations or places, without being able to escape, or to be with intense fear without help.
These situations are avoided or endured with substantial anxiety. About 30 to 50% of people with agoraphobia also suffer from panic disorder (panic attacks and panic disorder).
Agoraphobia is the fear and anticipatory anxiety of being trapped in situations or places, without being able to escape, or to be with intense fear without help. These situations are avoided or endured with substantial anxiety. About 30 to 50% of people with agoraphobia also suffer from panic disorder (panic attacks and panic disorder). Agoraphobia without panic disorder about 2% of women and 1% of men are affected in a 1-year period. The most common agoraphobia begins after age 20; a first appearance after age 40 is unusual. Common examples of situations or places that generate fear and anxiety, are waiting in line at a bank or at a supermarket checkout, sitting in the middle of a long line at the theater or at school, using public transport such as bus or plane. In some people the Agoraphobia occurs after a panic attack in a typical agoraphobic situation. Others feel in such a situation, though uncomfortable, they never or later suffer there but a panic attack. Agoraphobia limits functionality of an often and it can be affected in severe cases impossible to leave the apartment. Diagnosis Clinical criteria The diagnosis is made clinically based on the criteria in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). To meet the DSM-5 criteria for diagnosis, patient, persistent (? 6 months) have anxiety or fear of ? 2 of the following situations have: stop use of public transport oneself in open spaces (eg, parking, market square.) in an enclosed space (eg. B. Store to be theater) in a queue to stand or being in a crowd outside the house to be alone the fear has to include thought that it might be difficult to escape from the situation or that the patient would not receive any help when they are captured by fear or panic and put out of action. Moreover, it should all be present the following: The same situations almost always solve fear or anxiety from. Patients actively avoid the situation and / or request the presence of a companion. The fear or anxiety is out of proportion to the actual threat (taking into account socio-cultural norms). The fear, anxiety, and / or avoiding causing significant distress or impair significantly the social or occupational functioning. The fear and anxiety can no longer correct than another mental disorder (eg. As social anxiety disorder, körperdysmorphenStörung) are characterized. Therapy Cognitive Therapy Sometimes an SSRI If agoraphobia is not treated, there is usually a fluctuating course. Agoraphobia may also subside without formal treatment, possibly because sufferers perform their own form of “exposure therapy”. Impairs agoraphobia operability, however strong, treatment is required. Cognitive behavioral therapy is effective in agoraphobia. In cognitive behavioral therapy, patients learn to recognize their distorted thought patterns and false beliefs and control, and they are to exposure treatment prepared (specific phobic disorders: Exposure treatment). Many patients with agoraphobia benefit from drug therapy with an SSRI.