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How to Help Someone with Agoraphobia During a Panic Attack
by Stephen Price

Most of us who suffer from agoraphobia have frequent panic attacks, but the people closest to us don't know how to help us while we are having one. It is likely that we don't even know how they could help us during a panic attack.

Since panic attacks create an uncomfortable situation not only for you - but for the people who are close to you and want to help, I have written a short article on how to help someone with agoraphobia during a panic attack.

You might show this article to the people who are closest to you.

If you are with someone with agoraphobia who starts to have a panic attack, you can be a major help or a major hindrance. Here are some tips on how to be a major help.

First, ask ahead of time what the person would prefer you to do during a panic attack. Some people like to be left alone to concentrate on using their own strategies to get through it. Some people like to be talked to or touched. Knowing your friend or loved one's preferences is the first step toward being able to help during panic.

If the person with agoraphobia would like you to talk him or her through a panic attack, ask what types of things he or she would like you to say. If he or she cannot tell you, here are some good ideas:

1) Validate the person's emotions. Tell the person that you are sorry he or she is experiencing the anxiety or panic. Acknowledge the person's feelings without passing judgment. Whatever you do, don't try to use logic or reason to explain why the person shouldn't be anxious. This is the opposite of validating someone's feelings and can make the person feel stupid for feeling anxious.

2) Let the person know you will stay nearby. The presence of a "safe" person with whom the person is familiar and trusts is very comforting to most people during a panic attack. Sometimes it's not what you say to the person having the panic attack, but just that you are there that makes the difference.

3) Remind the person that panic, hyperventilation, and the other physical sensations felt during panic are not dangerous and that everyone lives through panic attacks. Its good if you read up on the different sensations people feel during panic so you can address them. For example, a person may describe tingling hands and feet during a panic attack and ask if he or she should be taken to a doctor. Knowing ahead of time that tingling sensations are a common physiological response to hyperventilation might give you the confidence to let the person know that these are normal feelings during panic - and keep you from wondering if your friend or loved one might be having a heart attack, stroke, or something dangerous.

If your friend or loved one with agoraphobia likes to be touched during panic attacks then putting a hand on his or her shoulder or back, or even holding his or her hand until the panic subsides can be of great comfort.

Another idea is to lead the person away from the situation or place that triggered the panic. This may mean guiding the person out of a crowded restaurant and helping him or her get to the car to calm down. It might mean leaving an event in the middle and driving the person home.

People with agoraphobia really appreciate it when someone understands enough to help them out of the feared situation and get to a safe place without criticizing, judging, trying to talk them out of the panic, or asking lots of questions.

When you are helping someone with agoraphobia out of a situation that has induced a panic attack, it is best to hold your comments and questions until later. Most people cannot think during a panic attack and having to listen to someone else's opinions or being faced with questions will only annoy the person having the panic attack, or cause him or her to start arguing with you.

As I said before, trying to talk someone out of the panic with reason or logic will just invalidate the person's feelings. Its unrealistic to expect a person having the panic to think rationally.

Whatever happens, stay calm and try to practice the things I just discussed. Speak in low, soothing tones and move using gentle, slow motions. The best thing a person can have during a panic attack is the presence of a calm role model who cares.

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