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How to Help Someone Find Their Own Motivation to Recover from Agoraphobia

by Stephen Price (based on "How to Help Your Loved One Recover from Agoraphobia" by Karen Williams).

Supporting someone with agoraphobia can be hard work and very frustrating. It is highly likely there will come a time when you doubt the agoraphobia sufferer's motivation. In those times, the temptation is to try to push them to do the things they need to do to get better.

If you have tried this, then you know that pushing someone with agoraphobia can just lead to more resistance. The alternative to pushing is to help the sufferer build his/her own motivation to recover.

Believe it or not, everyone with agoraphobia does not really want to get well. Some people are benefiting too much from having agoraphobia to really recover.

It is not advisable however, to accuse someone with agoraphobia of wanting to stay sick. This can be very insulting and some people don't even realize or acknowledge the benefits they are receiving from being sick. The first step to helping the sufferer build self-motivation to recover is to understand what is currently blocking it.

A major motivation-blocker for agoraphobia sufferers is the fear of what they might lose if they got better. These are things they are gaining from being sick. They may fear losing:

  • extra attention

  • help or assistance

  • emotional support

  • financial support

  • closeness with someone they love

To help an agoraphobia sufferer get over fearing such loss, don't set them up for it in the first place. Be careful that you don't provide something for the sufferer that makes it too easy or convenient for them to hold onto his/her disorder. If you start doing too much for a person with agoraphobia (getting groceries, going shopping, preparing meals, communicating with others on their behalf, offering financial support, etc.) you could unknowingly take away his/her motivation to recover.

To keep an agoraphobia sufferer motivated to recover, do just enough to help them make it - but not so much that they don't have to face up to their fears. Don't make it so the sufferer's life becomes easier with agoraphobia than without.

It is also good to assure the sufferer that your relationship with him/her will not change with recovery. Agoraphobia sufferers often need assurance that they will have still your love and attention should they got well.

Besides fear of losing love or support, other possible motivation-blockers for agoraphobia sufferers are the fear of responsibility and freedom that would come with overcoming the disorder, the feeling that recovery would be too much work, the feeling that they don't really deserve a better life. the feeling that recovery is not really possible, and the feeling that they aren't really responsible for the problem (fate, genetics, parents, or something else led to agoraphobia so recovery is not their responsibility).

Some people are not motivated to recover from agoraphobia simply because they don't have a reason or purpose to recover. In other words, there is nothing they are excited about living for.

Here are some more things you can do to help someone find the motivation to recover from agoraphobia:

Don't let him/her get away with putting the responsibility for the problem on other people - especially on you. Lovingly confront him/her if this starts to happen and don't get involved in conversations about how someone else is to blame for his/her problems.

Treat the sufferer like the worthwhile person you know him/her to be and keep reminding the sufferer that he/she is worthy of a better life. Stay positive about your friend or loved one with agoraphobia, be encouraging and don't get involved in conversations about why he/she is a bad person or deserves to have agoraphobia.

Believe in the person even when they don't believe in themselves.

Most of all - help the person find a purpose greater than fear. This is one of the most important factors in anyone's recovery - discovering a reason for living that makes fear irrelevant.

Discuss their dreams and fantasies with them. Draw out their desires. Engage them in discussions about their skills and interests and what would bring them the most satisfaction in life.

People who are driven to action by a heartfelt cause seldom worry about what might happen if they fail. People who have a reason for living are seldom afraid of freedom, choices, or change. Their focus is usually on making a difference in the world rather than on being afraid of what dreadful thing might happen to them.

In the most extreme cases, people with a strong sense of purpose do not even show fear in the face of death.

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