Can flying cause panic attacks?

Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Common reasons for panic attacks on a plane include a fear of flying, but they can also be caused by claustrophobia or the fear of enclosed spaces.



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There are many reasons that panic attacks on planes are common. Obviously fear of flying is one of them, but there are other reasons as well, including: Plane Symptoms Being on a plane can cause physical sensations that may trigger panic attacks.

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So here's what I've learned over the years and some tips on managing travel anxiety, courtesy of the experts.
  1. Remember why you're doing this. ...
  2. Prep your meds. ...
  3. Take note of what freaks you out. ...
  4. Notice anxious thoughts and let them go. ...
  5. Let the panic attacks do their thing. ...
  6. Ask for support. ...
  7. Travel more often.


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According to the National Institute of Mental Health, being anxious about flying, or aerophobia, is the second biggest fear in the U.S. The Anxiety and Depression Association of America says that fear of flying is often caused by fear of other things, like being in an enclosed space or something bad happening in the ...

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While many people believe that recirculated, germy air is the main culprit of illness after a plane ride, the real reason why flying can cause us to get sick is from low humidity. When you're soaring through the sky, the high elevations cause the humidity level in the airplane cabin to decrease.

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It's not just your imagination – flying in an airplane can zap your energy, dry your skin and make various body parts feel different or weird. How come? “The pressure, temperature and oxygen levels in the cabin fluctuate, and the humidity level is lower than it is at sea level,” says Matthew Goldman, MD.

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For example, the stress of planning a journey, traveling in enclosed planes or trains, or visiting new, unfamiliar places can lead to anxiety symptoms.

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Most people with aerophobia respond well to treatment such as psychotherapy. One study suggests that some people's symptoms improved for two to three years after CBT. It's possible for aerophobia to return after treatment, so some people may need ongoing therapy.

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“You will want to help the anxious flier by being prepared with activities to do on the plane, to help them stay busy,” Matthews said. While most flights have in-flight entertainment, it's not a guarantee, so make sure they pack all the things, including a book, a downloaded podcast on their phone, and so on.

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Travel anxiety is not an officially diagnosed mental health issue, but can be severe enough to interfere with people's daily lives. People with travel anxiety may be unable to see family and friends, go on vacation, or travel for work.

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“In combination with the time constraints and travel pressure (from both everyone around you, and your travel companions), someone in an airport may have a lot of anxiety simply about navigating the space, getting to where they need to go, being in a crowded environment, and the journey of actually getting to your ...

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The key symptoms of travel phobia are excessive fear and avoidance of travel situations. These symptoms overlap with those of PTSD. In particular, persistent avoidance of stimuli associated with the trauma and fear and other negative emotions in response to trauma reminders are common PTSD symptoms.

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For those who are already nervous fliers, there is perhaps some more bad news. “Anxiety levels can increase with hypoxia,” explains Valerie Martindale, president of the Aerospace Medical Association at King's College London. Anxiety is not the only aspect of mood that can be affected by flying.

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Flying is a stressful experience
Air travel is stressful even under the best of circumstances, and a large part of that comes from having to relinquish control, which happens long before you reach the plane seat. Upon entering an airport, you are sifted through a regimented, mandatory, and inconvenient set of steps.

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Jet lag is a temporary sleep disorder, but not temporary enough for many travelers. If you're flying from San Francisco to Rome for a 10-day trip, for example, it may take six to nine days to fully recover. That's because it can take up to a day for each time zone crossed for your body to adjust to the local time.

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The main aspect of in-flight health that most of us will encounter is tiredness and changes to circadian rhythms. Flying often involves getting up at unsociable hours, inadequate sleep and messing up the body clock — all of which leave us more susceptible to being hit nastily by any bugs that may be floating about.

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Choose a seat in the middle of the plane. As the air circulates across the rows and not up and down the plane, some experts believe the worst air is in the front or the back of the plane. Stay well hydrated by drinking lots of fluids (water or fruit juice) and avoiding caffeine and alcohol, which will dehydrate you.

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