Agoraphobia can be a debilitating psychiatric disorder. It was originally called agoraphobia with panic attacks. Later it was renamed Panic Disorder (PD) with or without agoraphobia (American Psychiatric Association, 2013). Agoraphobia is an anxiety disorder involving intense fear of any situation where escape may be difficult or where help may not be available. Agoraphobia often entails fear of crowds, or being outside. Most individuals will develop agoraphobia after having a panic attack, which causes them to fear having another panic attack. These individuals work to avoid any sensation which reminds them of the physiological responses they felt during the panic attach. The fear of experiencing another panic attack ultimately leads them
Extinction of the fear would suggest the conditioned stimulus (CS) is presented repeatedly without the unconditioned stimulus (US), thus the conditioned response (CR) will decrease. Pertaining to agoraphobia, the CS is the exposure to the context they fear. The US is the panic attack. The CR is the avoidance of the CS. Habituation proposes when a response is repeatedly occurring, the strength of the response decreases. In the context of exposure therapy, as the individual engages in the task the anxious response is repeatedly elicited and the strength of the response begins to decrease (Porter et al., 2006).
Exposure therapy enables the individual to face and ultimately conquer their fear. Exposure therapy tries to obtain fear extinction through being repeatedly exposed to the feared stimuli in a safe context. Exposure therapy begins by having the individual relax and imagine the components of their phobia, from the least fearful to the most fearful. In vivo exposure involves exposing the individual to a stressful situation progressing from slightly challenging to a more normal everyday situation. In vivo exposure draws from respondent conditioning, respondent extinction, and learning theory (Porter et al.,
Panic disorder- sudden intense and unprovoked feelings of terror and dread. People who suffer from this disorder generally develop strong fears about when and where their next panic attack will occur, and often restrict their activities as a result.
Agoraphobia is a psychological disorder characterised by panic and anxiety. This particular anxiety disorder involves the fear of experiencing a panic attack in a public place where safety may be unavailable, which causes discomfort (Lilienfeld, 2017). This disorder is commonly recognized in women and often arises during adolescent years. Often times, people develop agoraphobia after a previous panic attacks, which than causes them to worry about having another in the future (Agoraphobia, 2017). This results in avoidant behaviours, such as evading places where an attack may occur. There are many causes, symptoms, effects on both the individual with the disorder and their loved ones, as well as a variety of treatments available.
Kurayama, Matsuzawa, Komiya, Nakazawa, Yoshida, Shimizu, (2012) confirmed that these neutral stimuluses deed indeed has an effect and played a role in fear conditioning in people. The case showed that Treena had indeed learned to be scared of the incident and it proceeded to become a cue for to get anxious and get panic attacks. It has been claimed that patients with panic disorder exhibited fear potentiated startle responses to safety cues and therefore reduced discrimination between safety and danger signals during acquisition, indicating that the safety signal was processed as the aversive event in contrast to the danger signal (Nees, Heinrich, Flor, 2015). It also showed that the her failing to answer the question had affected her in other classes when she would not participate in other classes hence, this showed that the neutral stimulus has developed and grew into a conditioned stimulus which evoked feelings of fear and anxiety in her, in other words it had become a cue for her to be scared and
The procedures leading to the acquisition and elimination of agoraphobia are based on a number of behavioural principles. The underlying principle is that of classical conditioning. Classical conditioning is a type of learning in which a stimulus acquires the capacity to evoke a response that was originally evoked by another stimulus (Weiten, 1998). Eliminating agoraphobia is basically achieving self-control through behaviour modification. Behaviour modification is systematically changing behaviour through the application of the principles of conditioning (Weiten, 1998). The specific principle used here is systematic desensitisation. The two basic responses displayed are anxiety and relaxation, which are incompatible responses. Systematic desensitisation works by reconditioning people so that the conditioned stimulus elicits relaxation instead of anxiety. This is called counterconditioning. Counterconditioning is an attempt to reverse the process of classical conditioning by associating the crucial stimulus with a new conditioned response (Weiten, 1998). This technique's effectiveness in eliminating agoraphobia is well documented.
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...
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.
Severe anxiety, which can be described as an episode of terror, is referred to as a panic attack. Panic attacks can be extremely frightening. People who experience panic attacks over a prolonged time period may become victims of agoraphobia, which is a psychiatric disorder that is closely associated with the panic disorder. Patients with Agoraphobia avoid certain places or situations such as airplanes, crowded theaters, a grocery store or anyplace from which escape might be difficult. It is said that Agoraphobia can be so severe that it has made certain individuals housebound.
An increased heart rate, uncontrollable shaking, and a feeling of suffocation characterize panic attacks. An example of this disorder would be the feeling a person would get while being near water after a near drowning experience. The usual treatment involves controlling the cognitive responses that a patient gets when suffering a panic attack. Individuals that suffer from constant panic attacks are diagnosed with a panic disorder. Panic disorders are characterized by reoccurring panic attacks, people with these disorders also suffer from anxiety about the consequences of further attacks. Patients with a panic disorder can develop agoraphobia; an irrational fear of large crowds.
...6. Generalization from the original phobic stimulus to stimuli of a similar nature will occur; 7. Noxious experiences which occur under conditions of excessive confinement are more likely to produce phobic reactions; 8. Neutral stimuli which are associated with a noxious experience, may develop motivating properties. This acquired drive is termed the fear drive; 9. Responses (such as avoidance) which reduce the fear drive are reinforced; 10. Phobic reactions can be acquired vicariously (Rachman 31). These theories are used to identify how people obtain phobias and other situations that may occur with phobias.
Anxiety disorder is a type of abnormal behavior characterized by unrealistic, irrational fear. These types of disorders are diagnosed two as often in women as in men. Although these disorders can be very chronic and serious, they are easily treatable. Generalized anxiety disorder is when people experience fear and worry that is not focused on one specific aspect; nevertheless, they suffer greatly with headaches, dizziness, heart palpitations, and insomnia. Obsessive-compulsive disorder, better known as OCD, involves persistent, unwanted, obsessions and irresistible urges to perform compulsions in order to relieve anxiety. Unlike other anxiety disorders, OCD consists more of anxiety and worry rather than fear itself. Many people who experience OCD are aware that there is no motive behind their actions, however their anxiety is heightened when they try to ignore the compulsions. People with such anxiety disorders often experience sensitivity to other people’s views as well as worry over their surroundings.
In this treatment, “clients are repeatedly exposed to objects or situations that produce anxiety, obsessive fears, and compulsive behaviors, but they are told to resist performing the behaviors they feel so bound to preform” (Comer, 2015). Individuals going through this treatment will often find it extremely difficult to resist the urge to preform these compulsions, or behaviors, therefor the therapist will often be the first to set this example. This treatment can be conducted in an individual, or group
Panic disorder is a psychiatric disorder in which debilitating anxiety and fear arise frequently and without reasonable cause. Panic attacks do not happen out of normal fear. Panic attacks happen without reason or warning. If you have panic disorder it could come from one of the following: family history, abnormalities of the brain, substance abuse, or major life stress(Panic Attacks and Panic Disorder. (n.d.). Retrieved March 28, 2016, from http://www.webmd.com/anxiety-panic/guide/mental-health-panic-disorder). This disorder is in the category of anxiety and depression. Panic disorder belongs to axis one, which is clinical disorders, this is the top level of the DSM multiaxial
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
Written from a true agoraphobic I am able to convey the causes, hardships and the lessons I have learned as well as the way I adapted to life. Though there were many contributing factors that caused the illness. It is my belief that my childhood trauma played a huge role in it. This trauma included bullying, unstable home life and my own inner struggles
Cognitive-Behavior Therapy (CBT) is also often paired with systematic desensitization. CBT is focused on regaining control of reactions to stress and stimuli, ultimately reducing the feeling of helplessness (Palazzolo, 2014). One specific case of Psychotherapeutic Treatment for Aquaphobia takes a closer look at the break down of how systematic desensitization would be applied. Initially, the patient would be given information on their phobia, making it seem as unthreatening as possible and by showing them that they are not alone, as this disorder is common and that there is a cognitive approach to treat their condition. You first explain to the patient step by step the therapy that is going to take place. You ask them to carefully watch themselves throughout each situation and take notice at what parts they find challenging or lead them to avoidance. It is also suggested that the patients rates her anxiety during those situations on a scale from 1-10. The duration of this therapy would be approximately 13 sessions, meeting once a week for 30-45 minutes. The first three sessions are centered around their life and story of their disability, the diagnosis and the analysis of the disorder while working out a review of each sessions and what their ultimate goal