22nd February 2024

Presentation

The primary presentation is avoidance of certain places due to worry about being suddenly incapacitated and not being able to escape, with individuals often displaying symptoms of panic. Common situations include public areas such as stadiums, parks, supermarkets or anywhere with a large crowd.  Individuals may often avoid places where they feel they could become trapped, which is called agoraphobic avoidance. Agoraphobic avoidance is most likely in those who have panic symptoms, as sufferers become worried about having a panic attack somewhere where they will have no control or feel like they will die because they can’t get help or escape. 

Individuals often report having a zone of safety that they feel comfortable being within, such as their home or local area. They feel distressed if they are out of the safety zone and avoid leaving this area. Agoraphobia can occur independently, soon after a panic attack or over time.