Claustrophobia

Pronounced: Clah-stro-fo-bee-ah

Definition

Claustrophobia is an anxiety disorder characterized by irrational fear of enclosed or small spaces. People with claustrophobia often describe it as feeling trapped without an exit or way out. Claustrophobia involves emotional and physical reactions to triggering situations. The fear of claustrophobia may be intense, but treatment can help manage or overcome it.

Common Physical Reaction to Triggering Situations

Physical reaction anxiety
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Causes    TOP

The cause of claustrophobia is not well known, but it is likely a combination of genetic factors and a person's environment..

Risk Factors    TOP

Factors that may increase your chance of developing a claustrophobic anxiety attack include:

  • Family history
  • History of anxiety or nervousness when in an enclosed room or space
  • Repeated avoidance of situations that have brought on a previous anxiety attack

Symptoms    TOP

Claustrophobia usually develops early in life during childhood or the teenage years. Claustrophobia may bring on feelings similar to a panic attack, which may cause:

  • Sweating
  • Rapid heart beat
  • Shortness of breath or hyperventilation
  • Trembling
  • Lightheadedness or fainting
  • Nausea
  • Feelings of dread, terror, panic

Other symptoms of claustrophobia may include:

  • Automatically and compulsively looking for exits when in a room or feeling fearful if doors are shut
  • Avoiding elevators, riding in subways or airplanes, or cars in heavy traffic
  • Standing near exits in crowded social situations

Diagnosis    TOP

Your doctor will ask about your symptoms and medical history. A physical exam will be done. Diagnosis is based on your history of persistent or excessive fear that may:

  • Be triggered by anticipating an event or situation
  • Cause panic attacts associated with the fear-causing situation
  • Interfere with normal daily activities
  • That is not explained by another disorder

Treatment    TOP

Claustrophobia can disappear in adulthood. If it does not, treatment is usually necessary to overcome the fear. Talk with your doctor or mental health provider about the best treatment plan for you. Options include:

Psychotherapy

The most common type of treatment for claustrophobia involves mental health counseling targeted to overcoming the fear and managing triggering situations.

Different types of strategies include:

  • Relaxation and visualization techniques designed to calm the fear when in a claustrophobic environment
  • Cognitive-behavioral therapy (CBT)—an approach that involves learning to control the thoughts that occur when confronted with the fear-inducing situation in order to change the reaction

Medication

Your doctor may prescribe medications to control the panic and physical symptoms of claustrophobia. These include antidepressants and antianxiety drugs. They will not cure the condition but are often helpful when used with psychotherapy.

Prevention    TOP

There are no current guidelines to prevent claustrophobia.

RESOURCES:

Anxiety and Depression Association of America
http://www.adaa.org
American Psychiatric Association
http://www.healthyminds.org

CANADIAN RESOURCES:

Canadian Mental Health Association
http://www.cmha.ca
Canadian Psychiatric Association
http://www.cpa-apc.org

References:

Anxiety disorders. National Institute of Mental Health website. Available at: http://www.nimh.ni.... Accessed July 22, 2013.
Specific phobia. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php. Updated March 13, 2013. Accessed July 22, 2013.
Treatment. Anxiety Disorders Association of America. Available at: http://www.adaa.org/finding-help/treatment. Accessed July 22, 2013.
Last reviewed July 2013 by Brian Randall, MD
Last Updated: 07/22/2013
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