Living with Agoraphobia

I thought I would post in honour of world mental health day.

I spoke before about what Agoraphobia is in this post, but today, I’m not talking about definitions and symptoms. I am talking about the daily lives of people living with this disorder and the realities of being Agoraphobic.

Everyone’s experience is going to be different. We all have different things that make us uncomfortable and we are all at different stages of recovery.

I think the best way to talk about this is using my own experience, rather than trying to generalise…so here it goes.

When I was first diagnosed, I had a lot of issues about a lot of things. Leaving my town or going on public transport was a big nope. In my mind I was thinking that if I got on a bus and started to panic, then I had two options. I could stay on the bus and have a panic attack, or I could get off the bus and wait half an hour to get on another bus home, alone and freaking out.

What is the best way to tackle this? Just don’t bother trying. Avoid it. At least that’s what you tell yourself, in reality, you are just making it worse.

I remember one time when I was a little better, I went to Nottingham for the day. We’d just had food and I was walking across the square. I just happened to look around me and noticed how many people there were. I instantly went dizzy and hot. I told my partner that I needed to leave. We started walking back to the car and and then it, one of my worse nightmares. I was sick. Right there in broad daylight in front of a crowd of people.

I had to sit down in a side street and pull myself together. I felt if I moved, I would be sick again. I was dizzy, nauseous, panicking and my head was fuzzy. I wanted to get back to the car, but I didn’t think I could make it safely back without being sick, falling over or dying. I was trapped.

It took about 20 minutes, but I finally managed to get up and drag myself back to the car. As soon as I closed the door, the feelings started to instantly subside. 30 seconds ago, my chest felt tight like I was having a heart attack and couldn’t breathe and had all the symptoms of the flu. Then once I was somewhere I felt safe, I felt better.

Even if I stuck with it and stayed, I would feel sick, extremely tired with a headache and walking round like I was in a dream for the rest of the day. It’s not pleasant.

It all might sound like an exaggeration, but I assure you it’s not. These physical symptoms are often the reason people with anxiety or panic disorders do what they can to avoid situations that make them feel uncomfortable.

The symptoms do feel like a heart attack crossed with a fever. Your chest is tight, you are hyperventilating, you are too hot and shaky, you feel sick and faint. Your fingers and toes go numb. Everything is louder and brighter, you can’t focus, you get confused and the only thing clear in your head is that you need to go home.

Even when you are not having a panic attack and you are just anxious, you can feel sick, your mind is fixated on how uncomfortable you feel, your heart is racing. It feels like you are waiting in the wings about to go on stage in front of hundreds of people, only to realise you don’t know your lines. It really doesn’t make for a nice day.

Agoraphobia can make you feel panicked in a room full of your immediate family and closest friends. It can make holidays and social events feel like a nightmare rather than a fun time. When I book in to have my hair done, there is a 50/50 chance I will make it. Other times I’ll be sat in McDonalds bathroom unable to come out.

I’m not looking for sympathy, I am trying to put it in a way that someone who has never experienced it can understand.

I have managed to make my way through most of this with a lot of hard work and therapy. I am stronger and I know myself better now I have fought this.

It’s not just feeling nervous or as easy as just stepping out of the house. It’s something you have to tackle consistently or you slide back down that slippery slope to being housebound again.

In other words, it’s pretty sh*t.

It’s not always like this though. I find comfort in going out and walking in nature. Some of my favourite places are the busiest (London, Brighton and Tokyo). When you achieve something, it honestly feels like you are invincible. It is such an amazing feeling.

I want to raise more awareness about this disorder because it is a lot more complex than people think.

Will I Always Be Agoraphobic?

It’s been 5 years now since my panic attack And while I have definitely improved over the years, I am still definitely not your average girl.

I have been wondering quite a lot recently whether if I continue to step out of my comfort zone, this will all go away.

I can move around my hometown quite easily, although if I need to travel any further or I have to be somewhere, I still get very anxious before leaving the house.

I’m still using unhelpful coping behaviours (wearing loose clothes, carrying water, excessive planning) which I am working on.

Eating out at restaurants is still impossible unless it’s somewhere I’m very familiar with and it’s within a small group.

Socialising is completely out of the window, although I am happy being on my own. I don’t think it’s healthy though.

Thinking about the future, will I have enough time to build a career and travel the world before my baby clock runs out? Or will this be a struggle for years to come?

Who knows?

I think one day I will be able to go and eat food in a large group wearing jeans (I know, I have crazy high aspirations), but will I ever be truly comfortable?

I think one day I will be able to have my dream career, but will I be able to cope with the stress long-term?

I think one day I will look back at this post and smile because everything will be alright

At least I hope so

โ€œWhat if?โ€ & Why It’s Holding You Back

โ€œWhat ifsโ€ are not in themselves an issue, e.g. “what if the traffic is bad?” As a rationale to leave earlier, ensuring that you arrive on time. The problem comes when the statement starts negatively impacting your daily functioning. E.g. “what if the traffic is bad?” As an excuse to stay at home in case you have a panic attack and can’t easily get to a ‘safe place.’

This one little phrase and how you approach it can be make or break.

Before I went to therapy, I hadn’t really given much attention to my specific thoughts, only “oh my god I need to leave now!” However after sitting down with my therapist, she made me realise that the anticipation of leaving the house culminated in a lot of “what if?”

Here are some I still battle with:

  • “What if I get to the restaurant and it’s busy and I need to leave? What will people think?”
  • “What if I’m with people that don’t understand and I start panicking?”
  • “What if I can’t go back to work without panicking and end up in the same state as last time?”
  • “What if people just think I’m an inconvenience?”
  • “What if I never amount to anything and have wasted my life?”
  • “What if I eat and bloat and then my clothes get too tight and I feel sick?”
  • “What if I get too far away from my ‘base’ and can’t get back easily?”

I know some of these seem silly to most people, I know it’s silly. But in my mind, there is nothing worse than feeling like I have to be in a certain place where I can’t just leave without a) having to explain myself; b) causing a scene or c) ruining the event.
It rules my life and makes me miss out on social events and great opportunities.


Uncertainty

Uncertainty is a major player when it comes to anxiety, especially Agoraphobia. Using ‘what if’ and worrying can make it feel like you are taking back control, preparing for the unknown, when in reality you are solidifying your negative beliefs, affirming your behaviour and continuing the cycle of anxiety.

It can manifest in over-preparing, trying to find solutions to things that are out of your control and avoidance.

It is important to stop and evaluate. Does worrying make anything more certain? For example, does worrying about an exam help you to pass?

Learning to accept uncertainty is an important step.

Little steps such as looking at solutions to problems who’s outcome you can impact as opposed to problems you cannot change can be a reassurance.

Another way could be to keep a diary of facing uncertainties. In which you note:

Diary SectionExample
The SituationThe Train
Feared OutcomeBusy train and panic attack
Actual OutcomeIt was busy, didn’t have panic attack
How You CopedPracticed breathing, rationalised my thoughts


Over time, you will see that you are able to manage uncertain situations and they are not as terrifying as they first seem.

A little CBT and challenging your beliefs can go a long way.

For me this is an ongoing process and no matter how well I do, my initial reaction to leaving the house and the moment before I step out the door is “arghhhh, what if..?”


I’m sure with time I’ll get there and so will you.