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Why do I get panic attacks on trains?

You might be uncomfortable mixing with other people in an enclosed space, or worried about how other passengers might behave. Many people who get anxious on public transport have a similar underlying concern, which is that they won't be able to get off when they need to, for instance if they feel panicky or sick.



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You might be uncomfortable mixing with other people in an enclosed space, or worried about how other passengers might behave. Many people who get anxious on public transport have a similar underlying concern, which is that they won't be able to get off when they need to, for instance if they feel panicky or sick.

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Some people may experience travel anxiety because of negative past travel experiences or because they have an anxiety disorder. Travel anxiety may relate to specific activities, such as driving or flying. It can also involve a general fear of crowds, being unable to leave a space, or the unknown.

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People may experience travel anxiety because of the unknown. For example, they may wonder what would happen if they ran out of money, got lost, or became ill. Having a plan in place for worst-case scenarios may help ease these fears.

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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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People often come to us requesting the doctor or nurse to prescribe diazepam for fear of flying or assist with sleep during flights. Diazepam is a sedative, which means it makes you sleepy and more relaxed.

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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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There might be a time in your life where you want to ditch the suitcase and the travel guide, and that's OK. We all need a break sometimes. But make sure you also take the time to acknowledge what might be keeping you from it, and do what feels right for you.

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