Symptoms

The severity of agoraphobia can vary significantly between individuals.

For example, someone with severe agoraphobia may be unable to leave the house, whereas someone who has mild agoraphobia may be able to travel short distances without problems.

The symptoms of agoraphobia can be broadly classified into three types:

• physical
• cognitive
• behavioural

These are explained in more detail below.

Physical symptoms

The physical symptoms of agoraphobia usually only occur when you find yourself in a situation or environment that causes anxiety .

However, many people with agoraphobia rarely experience physical symptoms because they deliberately avoid situations that make them anxious.

The physical symptoms of agoraphobia can be similar to those of a Panic disorder and may include:

• rapid heartbeat
• rapid breathing (hyperventilating)
• feeling hot and sweaty
• feeling sick
• chest pain
• difficulty swallowing (dysphagia)
• diarrhoea
• trembling
• dizziness
• ringing in the ears (tinnitus)
• feeling faint

Cognitivesymptoms

The cognitive symptoms of agoraphobia are feelings or thoughts that can be, but aren't always, related to the physical symptoms.

Cognitive symptoms may include fear that:

• a panic attack will make you look stupid or feel embarrassed in front of other people
• a panic attack will be life threatening for example, you may be worried your heart will stop or you'll be unable to breathe
• you would be unable to escape from a place or situation if you were to have a panic attack
• you're losing your sanity
• you maylose control in public
• you maytremble and blush in front of people
• people may stare at you

There are also psychological symptoms that aren't related to panic attacks, such as:

• feeling you would be unable to function or survive without the help of others
• a fear of being left alone in your house (monophobia)
• a general feeling ofanxiety or dread

Behavioural symptoms

Symptoms of agoraphobia relating to behaviour include:

• avoiding situations that could lead topanic attacks, such as crowded places, public transport and queues
• being housebound not being able to leave the house for long periods of time
• needingto be with someone you trustwhen going anywhere
• avoiding being far away from home

Some people are able to force themselves to confront uncomfortable situations, but they feel considerable fear and anxiety while doing so.

When to seek medical advice

Speak to your GP if you think you have the symptoms of agoraphobia.

You should also seek medical advice if you have any of the following:

• chest pain
• shortness of breath
• headaches
• dizziness
• fainting episodes
• unexplained weakness
• the sensation your heart is beating irregularly (palpitations)
• depression
• thoughts of suicide or self-harm