Agoraphobia is derived from the Greek words agora, meaning “gathering place” or “assembly” which was used to describe a city’s marketplace, and phobia meaning “fear.” It literally means "fear of the marketplace." Carl Westphal first coined the term “agoraphobia” in 1871 to describe people who were afraid of large open spaces. Since then, the definition of agoraphobia has been modified and continues to develop as more research is done. (Barlow, 2002, p. 328) The Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM–5; American Psychiatric Association [APA], 2013) defines the essential trait of agoraphobia as "marked, or intense, fear or anxiety triggered by the real or anticipated exposure to a wide range of situations." (p 218) It is the most common phobia. To further understand agoraphobia, this essay will explore the characteristics, causes, being a Christian with agoraphobia, and the treatments.
I. Characteristics of Agoraphobia
Characteristics of agoraphobia are a marked fear or anxiety about two or more of the following: "using public transportation" like cars, planes, trains, and buses; "being in open spaces" like a market, a parking lot, a bridge, or ship; "being in enclosed places" like a store, a theater, or an elevator; "standing in line or being in a crowd"; or "being outside of the home alone." (APA, 2013, pg 217) This fear differs from other phobias in that the fear is not the specific place or thing, but the person is afraid that they might not be able to leave or get help if they panic or are incapacitated or have embarrassing symptoms or situations. This might be because of other medical conditions such as vomiting or inflammatory bowel symptoms. Older adults might fear falling. Children might fe...
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Agoraphobia can be divided into two word parts: agora, a Greek term meaning “marketplace” and phobia, meaning “the fear of something” (Miller, 2011). It is the fear of being in a communal or open place (Miller, 2011). When people have agoraphobia, they often evade situations that may cause them to panic, such as crowded places, leaving a common place, being unaccompanied, or being confined or humiliated (“Agoraphobia,” 2011; “Agoraphobia,” 2014). People often become imprisoned in their own home because they do not feel safe in public places or crowded places, such as malls, planes, sporting events, elevators, or public transportation (“Agoraphobia,” 2011). Initiating treatment can be difficult because it means facing the fear, but a combination of therapy and medicine can reduce the symptoms substantially (“Agoraphobia,” 2011; Miller, 2011).
All ¬anxiety disorders show distinct expressions of behavioural, subjective, and physiological symptoms of anxiety (Andrews, Creamer, Crino, Hunt, Lampe, & Page, 2004; Franklin & Foa, 2002). Research consistently showed that although basic anxiety symptoms are present in most if not all disorders, they are indeed manifesting differently in each (Caprara, Steca, Cervone, & Artistico, 2003). Therefore, the exact nature of feared stimuli cannot be predicted and is generally distinctive from individual to individual.
For a person diagnosed with agoraphobia, there are a number of restrictions and consequences associated with the disorder. A serious consequence is the incidence of severe and paralysing panic attacks. In the early stages of agoraphobia people suffer recurring panic attacks when in certain public places or situations. These attacks cause the person to feel generally uncomfortable in public settings. Eventually, fear of the recurrence of the panic attacks results in an obvious reluctance or refusal to enter all situations associated with the attacks. Other consequences of agoraphobia may include fear of being alone, fear of being in places where escape might be difficult, feelings of helplessness, dependence on others and depression. These consequences place many serious restrictions on a person with this disorder. Agoraphobia causes people to restrict their activities to smaller and smaller areas in order to avoid crowds, and open and public places or situations. This may finally lead to the inability of a person to leave their home without suffering a panic attack.
Anxiety is a concept that most people experience daily, but severe anxiety is associated with panic attacks and other disorders can debilitate a person’s life. In the 1997 documentary, Secret Fear directed by Sarah Barton, real-life people express their stories and experiences with anxiety. The film uses the stories of people who have recovered and / or continue to cope with their disorder. Furthermore, different types of therapy, medications, and coping methods are described for the viewer to understand the ways in which people are able to overcome anxiety. Since anxiety is not limited solely to panic attacks, the film uses people who have experienced Obsessive Compulsive Disorder (OCD), hoarding, depression, or social phobias. The film
One of the characteristics of a phobia is a feeling that is greater than the fear of a situation or object with an exaggeration of the danger associated with the said situation or even object. This persistent fear often leads to an anxiety disorder that leads an individual to develop mechanisms that ensure one avoids the object or situation that triggers the occurrence of the phobia. Phobias can have highly debilitating effects on an individual including the development of depression, isolation, substance abuse, and even suicide. Many people take phobia for granted however, it is clear that it has the potential to impair the quality of life for both the affected and the people around them. The fact that many of the phobias are manageable using
With this information in mind, I began thinking of my personal experiences with anxiety. On one occasion I went to the emergency room, expressing the inability to breathe and dizziness. It was concluded that I ...
In order to treat the fear you must treat it with relaxation while in the presence of the feared situation. The first step in Wolpe’s study was to focus on relaxing your body. He recommended a process that involves tensing and relaxing various groups of muscles until a deep state of relaxation is achieved (Wolpe,264). The second stage was to develop a list of anxiety-producing situations that are associated with the phobia. The list would descend with from the least uncomfortable situation to the most anxiety producing event you can imagine. The number of events can vary from 5 to 20 or more. The final step is to desensitize, which is the actual “unlearning” of the phobia. Wolpe told his patients that no actual contact with the fear is necessary, and that the same effectiveness can be accomplished through descriptions and visualizations(Wolpe,265). Wolpe’s participants are told to put themselves in a state of relaxation which they are taught. Then, the therapist begins reading the first situation on the hierarchy they have made up. If the patient stays relaxed through the first situation the therapist continues to the next until the state of relaxation is broken. If they feel a slight moment of anxiety they are to raise their index finger until the state of relaxation is restored. The average number
Marks, I. M. (1987). Fears, phobias, and rituals: Panic, anxiety, and their disorders. New York:
In the general population, less than five percent of people experience panic disorders, and only six percent develop agoraphobia during their lives, (MacNeil 2001). A diagnosis of panic disorder is given when panic attacks turn into a common occurrence, for no apparent reason and the person begins to change their behaviour because of the constant fear of having a panic attack. Someone suffering from agoraphobia has a fear of being somewhere where help will not be provided in case of an emergency; one third to one half of people diagnosed with panic disorders develops agoraphobia, (Hoeksema & Rector, 2011, p. 204). Research has examined two well-known ways a panic disorder with agoraphobia (PDA) can be treated: Cognitive Behavioural Therapy (CBT) (alone and combined with two other medications) and Experimental Cognitive Therapy (ECT). Examining the research allows for a comparison of each treatment, along with a discussion of implications, resulting in determining which treatment is the most effective for someone who suffers from a panic disorder with agoraphobia.
Agoraphobic’s fears often interfere with work, school, relationship and daily life. Symptoms associated with agoraphobia are rapid heartbeat, trembling, sweating and upset stomach. The most sever are panic attacks which are short peri...
Anxiety is one of the most common mental illnesses in the United Sates. Anxiety is typically under diagnosed. Anxiety is a feeling of worry, nervousness, and getting anxious. It’s a feeling that you cannot shake, your heart begins to race, and you feel as if you cannot breath. Some believe anxiety is something that a person can control. They are wrong, anxiety is a debilitating mental illness that is hard to control and manage without the proper help. I chose anxiety because it is something that struggle with every day. The topics I will be discussing in my paper are the types of anxiety disorders, the manifestations of anxiety, treatment and medications, nursing interventions and patient education on anxiety. (Carol D. Tamparo, 2011)
The concept can be better understood through the example of a woman observed by researcher and psychiatrist Fraser Kent. This arachnophobic woman was so afraid of spiders that she would sweep, dust and vacuum twice a day to make sure spiders never settled in her home. She would clean, and then burn any bags coming from the grocery store to make sure that none entered the house from outside (2). This is an example of a person with OCD and a phobia. The obsessive-compulsive was birthed from her phobia. This greatly altered everyday life for her as she was fearful of leaving her house unless she knew her environment would be spider free. Unfortunately this is not an isolated case; there are many examples of the everyday lives of people worldwide that display the hardships of having a phobia and trying to lead a normal life. There are an estimated 26 million Americans alone living with a phobia. This ...
Jane Smith was referred to counseling at her Neighborhood Center by the head Social Worker. Social Worker stated on the referral sheet that Ms. Smith suffers from Agoraphobia. Agoraphobia is an intense fear of being in public places when you feel escape may be hard to do. Individuals with Agoraphobia tend to avoid public places and may not leave the home. Agoraphobia can be treated with CBT. CBT help change the way you think, feel, and behave and can be used to treat various health problems which includes phobias. Social Worker explained that Ms. Smith
Introduce Topic: A phobia as defined by medicalnewstoday.com, “is an irrational fear, a kind of anxiety disorder in which the sufferer has a relentless dread of a situation, living creature, place or thing.”
We all have our fears, rather it be flying or driving. However, when a phobia is present the individual has extreme irrational fears that interfere with their quality of life. For example a fear of heights may limit an individuals living or employment choices. If this individual is offered the job of a lifetime, however, the office is located on the twentieth floor; they will refuse the job due to the fear of heights.