If you live with agoraphobia, fear of open or public spaces may keep you from going out and living your life to the fullest. This is a type of anxiety disorder that doesn't go away on its own, but treatment can help. It usually involves a combination of psychotherapy and medicine.

Most people with agoraphobia fear the outdoors, including parks and streets. They also may avoid crowded areas, like malls and airports, and places where they feel trapped or helpless. Some people with agoraphobia don't even leave their homes unless they have someone to accompany them. They often think they will have a panic attack in these situations, which is an intense burst of fear that can cause chest pains, shortness of breath, and feelings of being trapped or losing control.

It's not clear what causes agoraphobia. But it seems to run in families and it can occur during times of major change, such as starting a new job or having a child. People who have a general anxiety disorder or depression are more likely to have agoraphobia. It's also more common in women and in teenagers.

A healthcare provider can diagnose agoraphobia by asking questions about your symptoms and checking to see if any medical condition might be causing them. For example, they'll ask if you have any other mental health conditions or a history of drug abuse. They may also do a physical exam or order blood tests to check for heart disease or other medical problems.

People with agoraphobia have to learn to face their fears, but they also may need medication to help reduce their anxiety and symptoms. Doctors typically prescribe antidepressants called selective serotonin reuptake inhibitors, or SSRIs, and other types of anti-anxiety drugs. They may also recommend fast-acting drugs called benzodiazepines, which are used as needed for severe symptoms.

Cognitive behavioural therapy, or CBT, is often used to treat agoraphobia and other anxiety disorders. It teaches you skills to help manage your anxiety and changes the way you think about the things that make you afraid. It's important to know that these treatments take time, but they can help you overcome your anxiety and start living your life again.

If you don't get treatment, your agoraphobia will probably continue to interfere with your daily activities and quality of life. It's also possible that you'll develop a more serious anxiety disorder or another medical problem if you don't get help for your agoraphobia. The good news is that it's very treatable, especially if you seek help early. For most people, early treatment for anxiety or panic disorders -- which includes agoraphobia -- is easier and faster than later treatments. Be sure to talk with your doctor about what treatment works best for you. Also, don't use herbal remedies or dietary supplements that aren't proven to treat anxiety. These can interfere with the effectiveness of any medications you are prescribed.