I am 58 years male. I am suffering from Agora phobia for the past 30 years. I tried many medicine as per doctors advice. Recently one doctor prescribed. Nexito 10 mg (acetolopram) and Clonazep. 5 mg (clonazepam). Earlier I could not able to go even half a km from my house without accompanying some known person. Now after taking nexito and clonazrp I could able to go 10 km lonely, but stil I am afraid to travel lonely in trains or buses to long distances. Could you please help me doctor.

Dr. Deepali AjinkyaPsychologist16yrs exp

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There are a few techniques to help you manage your anxiety better: 1. Understand false alarms It?s important to understand how such an instance may mimic anxiety attack but that?s only because the brain has made you believe it?s an uncontrollable symptom. When you experience such symptoms, understand that it is only a momentary experience of intense anxiety but it does fade away and is definitely not life threatening.� 2. Learn to challenge your thoughts In a state of anxiety, one?s thoughts are generally highly unrealistic and unlikely to occur in reality. There is a tendency to think of the worst possible outcome when anxious. In fact, one?s experience of anxiety comes from these flawed perceptions and thoughts about a situation. In such a situation, make it a habit to question the possibility of your thought actually occurring in reality and even if it does what would be so bad about it. 3. Avoid Avoidance The biggest mistakes people with anxiety make is avoiding the triggers in their environment which makes them anxious. The way out of anxiety is only through it. Do not avoid such situations. In fact, try to gradually expose yourself to that which makes you anxious starting from a lower intensity trigger moving up to a more severe anxiety triggering situations 4. Equip yourself with relaxation techniques �Indulge in activities on a daily basis (with or without the experience of anxiety) that lower your stress and help you relax such as exercising, listening to music, reading, practising a hobby, spend time with loved ones. Learn relaxation techniques, visualization techniques and take a regular time out to de-stress. Clinical Hypnotherapy with cognitive or mindfulness techniques has proven very effective in managing Agoraphobia. Warm Regards  

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