How do you fly with anxiety and claustrophobia?

Also, if possible, travel with a supportive friend or relative. They can help you work through the anxiety, guide you through relaxation exercises, or simply keep you distracted. Your companion can also help manage details such as checking luggage, which you may feel uncomfortable handling.



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Breathing Exercises with an App One of the most effective ways to stop a panic attack on a flight is to focus on your breathing. As you become more anxious or panicky, your breathing can become shallow and fast, which can lead to increased anxiety and feelings of being out of control.

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Also, if possible, travel with a supportive friend or relative. They can help you work through the anxiety, guide you through relaxation exercises, or simply keep you distracted. Your companion can also help manage details such as checking luggage, which you may feel uncomfortable handling.

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Try sitting in an aisle seat in an exit row towards the front of the plane. These seats typically have more legroom, are easier to get out of, and also reduce the number of other passengers in your view, making the space feel less crowded.

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Many nervous flyers find that the loud noises of the plane trigger anxious thoughts. You may find it helpful to bring along earplugs to reduce these sounds. You can also bring headphones and listen to your favorite music or a relaxation guide to help you feel calmer.

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Flight attendants will be skilled in helping you take your mind off the anxiety. They'll ask you all about where your from, what you do, what your family is like, where you're going, what you'll do there- they'll ask you to tell stories, describe things that you like, and remind you that everything is going to be okay.

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For me, the main advantage is that flying Business or First Class offers a less claustrophobic environment, with enclosed suites where I can quietly and discretely cope with my stress without being disturbed and watched by others.

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Listen to Music or Meditate A playlist of calming music or a guided meditation can do wonders for anxiety. Breathing deeply will slow down your thoughts and body, while the music will help drown out common flight noises.

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Keep yourself entertained inside the flight. Either binge-watch your favourite series and movies or read your favourite book. Distraction in such claustrophobic cases helps you to take off your mind from claustrophobia and anxiety. Keep yourself busy inside the flight with the things that you love to do.

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1) Diazepam is a sedative, which means it makes you sleepy and more relaxed.

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Flight attendants are trained in first aid – and this covers panic attacks and supporting people with anxiety on a flight. This training includes the questions they should ask someone having a panic attack and how to manage you out of one.

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While Xanax may be useful for flying on an airplane, it will not help you with your anxiety. It may help in the moment but you will not tackle your fear of flying if you are asleep the whole flight. If you ran out of your medication or left it at home, the anxiety will still exist if you go on an airplane again.

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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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Customers with Panic Disorder on Board an Aircraft Please consult with your physician whether you are fit for travel in advance, and what should do when you have a panic attack while on board. Please be sure to bring the medicine that is effective when you have a panic attack while on board.

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The two main medication classes most often prescribed are:
  • Benzodiazepines, such as the antianxiety drugs alprazolam (Xanax®), clonazepam (Klonopin®) and diazepam (Valium®).
  • Selective serotonin reuptake inhibitors, such as paroxetine (Paxil®) or escitalopram (Lexapro®).


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Over-the-counter options include Dramamine (bonus: it will also help if you have motion sickness), melatonin (a hormone that can help with sleep and prevent jet lag), any antihistamine containing diphenhydramine (such as Benadryl), and medicines designed for insomnia, like Unisom or ZzzQuil.

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Xanax, a member of the same pharmaceutical family (benzodiazepines) as diazepam, is a strong one. Take it about two to three hours before you fly, and do not mix it with alcohol. There is a risk of dependency, though, with these benzodiazepines, but only if you are taking them more than once a week.

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Claustrophobia (Fear of Enclosed Spaces) Fear of confined spaces (claustrophobia) becomes a phobia when it interferes with your ability to function at work, school, or other daily activities. Common triggers include tunnels, elevators, trains and airplanes.

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