AgoraphobiaAgoraphobia is an irrational fear that causes a sense of dread or panic when an individual is exposed to a particular setting, specifically crowded places in general. In most cases, the person knows on a cognitive level that the fear is irrational, but feels helpless in overcoming the anxiety. It usually involves crowded places like shopping malls or sports arenas, or enclosed places like elevators and airplanes. In some cases, the anxiety in facing one of these settings becomes so intense that the individual will avoid it altogether. This can create a serious disruption of daily life, leading many to seek help in dealing with their disorder. 
Fear of crowds is a form of anxiety disorder that can also be accompanied by panic attacks. However, panic attacks are not required for an accurate diagnosis of this disorder.
Panic attacks are characterized by physical symptoms like sweating, difficulty breathing, dizziness, trembling and nausea. In some cases, the person experiencing the attack may feel as though he is going to lose his mind or even die. If panic attacks accompany the fear of crowds, the problem can be exacerbated when an individual fixates on the worry over when the next attack will appear. Treatment may focus on reducing panic attacks in addition to treating the underlying fears. Symptoms of AgoraphobiaThere are a number of symptoms that individuals might experience with this disorder, including:• Fear of being alone • Fear of enclosed or crowded places • Worry over losing control in a public place • Reluctance to leave home • Feelings of helplessness and over dependence on others • Panic attacks when those fear-invoking situations arise In cases where an individual seeks treatment for fearing crowds, the symptoms are probably a significant disruption to daily activities. Treatment of AgoraphobiaThe most effective treatment for fear of crowds will probably combine psychotherapy and coping strategies. Cognitive-behavioral therapy, which primarily focuses on overcoming self-defeating thoughts and behaviors, is a popular choice for this disorder. In fact, cognitive-behavioral therapy is thought by some doctors to be the most effective way of treating this disorder, and may be the only therapy necessary.Patients who are diagnosed with this fear disorder are usually counseled to learn relaxation techniques to help them manage stress and anxiety. They are also encouraged to take care of themselves by getting sufficient sleep, eating a nutritious, balanced diet and getting daily exercise. It is important for individuals suffering from fear of crowds to face fear-invoking situations, since exposure will gradually lead to diminished anxiety. Individuals can also join self-help groups made up of others who understand the unique issues of agoraphobia. These groups provide an additional source of counseling and support for those dealing with this disorder. Fear of crowds can be a debilitating fear for many, but there is help available. If your daily life is becoming disrupted because of your symptoms, talk to your doctor about a diagnosis and treatment options. Return From AgoraphobiaTo Anxiety Disorders
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