Symptom 9. Claustrophobia Overlap: Fear Within Four Walls
Many with agoraphobia also report feelings synonymous with claustrophobia – a fear of confined spaces. Elevators, small rooms, or even wearing tight clothing can induce a sense of suffocation and panic. This symptom showcases the complexity of agoraphobia, where the fear of vast spaces can coexist with the dread of confined areas.
Peering through the lens of evolution, confined spaces historically posed threats – lack of escape routes from predators and the potential of entrapment. While modern-day threats have evolved, the primitive brain’s reactions haven’t changed significantly.
One of the intriguing facets of this overlap is the coping mechanisms people develop. For instance, someone might prefer stairs over elevators, even if it means climbing several floors. Or they might opt for seating near exits in theaters or planes, ensuring a quick escape route.
Delving deeper into this symptom provides a broader understanding of agoraphobia. It’s not just about the fear of open or public spaces but also about the innate desire to control one’s environment. Any scenario that seems to snatch away this control can become a potential trigger.
Overcoming this symptom often involves a combination of cognitive-behavioral strategies and gradual exposure. It’s about rewiring the brain to understand that control isn’t always external but lies in one’s response to situations. (9)
