The
term agoraphobia has been widely misunderstood. Its literal definition suggests
a fear of "open spacers". However, this is an incomplete and misleading view.
Agoraphobics are not necessarily afraid of open spacers. Rather, they are afraid
of having panicky feelings, wherever. these fearful feelings may occur. For
many, they happen at home, in houses of worship, or in crowded supermarkets,
places that are certainly not "open".
In fact, agoraphobia is a
condition which develops when a person begins to avoid spacers or situations
associated with anxiety. Typical "phobic situations" might include driving,
shopping, crowded places, traveling, standing in line, being alone, meetings
and social gatherings.
Agoraphobia arises; from an
internal anxiety condition that has become so intense that the suffering
individual fears going anywhere or doing anything where these feelings of panic
have repeatedly occurred before. Once the panic attacks have started, these
episodes become the ongoing stress, even when other more obvious pressures have
diminished. This sets up a "feedback condition" which generally leads to
increased numbers of panic attacks and, for some people, an increase in the
situations or events which can produce panicky feelings. Others experience
fearful feelings continuously, more a feeling of overall. discomfort, rather
than panic.
A person may fear having
anxiety attacks, "losing control", or embarrassing him/herself in such
situations. Many people remain in a painful state of anxious anticipation
because of these fears. Some become restricted or "housebound" while others
function "normally" but with great difficulty, often attempting to hide their
discomfort.
Agoraphobia, then, is both a
severe anxiety condition and a phobia, as well as a pattern of avoidant
behavior.