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Why does flying cause anxiety?

The list of triggers is long: turbulence, take-off, landings, terrorism, crashes, social anxieties, or being too far from home. Some people fear fire, illness spread through the air system, using the toilets, or violence on a plane.



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Try holding your breath and then breathing deeply, or better still, force yourself to breathe out for as long as you can and then take a long, deep breath. Seif and Farchione both recommended taking deep breaths, since this triggers the calming response and can help to prevent hyperventilation.

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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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So many travelers struggle with this fear, so the best way to cope is to find a seat with plenty of space. The least crowded section of the plane is first or business class. But if upgraded flying isn't in your budget there are still options. Try sitting in an aisle seat in an exit row towards the front of the plane.

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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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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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Read on for our science-backed strategies* for how to sleep on a plane.
  1. Stay at the right temperature. ...
  2. Wear bed socks. ...
  3. Power down your devices. ...
  4. Wear a light-blocking eye mask. ...
  5. Listen to pink noise. ...
  6. Wear noise-canceling headphones or earplugs. ...
  7. Uncross legs and use footrests. ...
  8. Lean backward with proper support.


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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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It's a list of four things you definitely should NOT eat or drink right before hopping on a plane . . .
  • Salty foods. It's common for people to get dehydrated on planes, thanks to the dry air in the cabin. ...
  • Carbonated beverages. ...
  • Alcohol. ...
  • Coffee.


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Flying does two things that are relevant to dizziness-- it may induce motion sickness, and it may stimulate the ear through pressure changes. There is a small literature about alternobaric vertigo. In small planes, dizziness may come from either or both mechanisms.

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So in summary, the sinking feeling you get after takeoff is a result of your inner ear's response to the sudden change in acceleration and gravity as the plane leaves the ground. It's a completely normal sensation and nothing to be concerned about.

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