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Many
patients who have agoraphobia have it as a result of a panic disorder.
Agoraphobia is a fear of places or situations where a panic attack may
occur. People with agoraphobia avoid being out alone, going to supermarkets,
travelling in trains and planes, being at heights, in elevators or tunnels
or crossing open fields, Many patients even experience panic when they
are asleep.
Most people have felt anxious at times. But when someone suffers a panic
attack they have such a high level of anxiety it can feel similar to a
heart attack, going insane or losing control. During a panic attack you
may have physical symptoms such as shortness of breath, tingling sensations,
ringing in your ears, a sense of impending doom, trembling, and a feeling
of choking, chest pain, sweating and heart pounding.
What
are the causes of panic attacks and agoraphobia ?
In
early human evolution, many situations that can trigger a panic attack
were truly dangerous. For example, public places might have brought our
ancestors in contact with hostile strangers. In any given year, 30% to
40% of the general population will have a panic attack. Those people who
don't interpret their panic as a signal of danger or illness will not
go on to develop panic disorder and agoraphobia.
Panic attacks are usually activated by stressful situations such as leaving
home, relationship conflicts, surgery, new responsibilities or physical
illness. The person therefore starts developing "hyper vigilance"
(they focus excessively on physical sensations), which can result in an
increase in the sensations and worry. This, in turn, may result in a full
blown panic attack. The person may then develop anticipatory anxiety (fear
that panic attacks will continue to occur) and begins to avoid situations
that give rise to such anxiety. Once avoidance becomes wide spread the
person has developed agoraphobia. The person's world may become smaller
and smaller as they increase their avoidance behaviours and although they
may not be experiencing a panic attack, they often live in constant fear
of the next occasion when they have such an attack.
Panic disorder and agoraphobia are not related to deeper psychological
problems. You may become depressed and self critical because you have
panic disorder but panic in itself can be treated effectively without
long term therapy which explores your childhood experiences.
Hypnosis is a wonderful cure for agoraphobia. I as the hypnotherapist
will access your subconscious and find which part of your mind attains
a 'satisfaction link' from your fear and redirect that link to a more
beneficial area. I will then take you into regression where I will take
you back to a time - probably your childhood - where you first experienced
this sensation, this will help you to understand why you first had the
problem. This is an essential part of your therapy and will help you to
understand how and why you react in certain circumstances. |
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