Agoraphobia and first panic attack
Patients with agoraphobia, in time, tend to multiply various places or situations avoided. Situations and places avoided may differ in great deal from patient to patient. Some places or situations have to be avoided at all cost by some patients. Professional reports are showing cases when places where patients had their first encounter with panic attacks and places where their public embarrassing was so big are the certain must avoid places.
Despite that reports, there are patients that do not avoid public places at all cost. They can use public transport or public places in periods when there is no crowd. They can come first at work and left last just to avoid crowd. Their deviant behavior sometimes can be masked with presence of agoraphobic friend or presence of some family member or friend with whom they feel safe. In such cases agoraphobic patients can work and travel with years. Question of availability of such companions is always open. Such companion is not available at all time and sure not available on longer period of time. In such case fear from panic attacks becomes apparent.
Most of the patients suffering from anxiety are pointing to their first encounter with panic attacks like not expected and sudden experience and they don’t express some previous events or symptoms preceding panic attacks. Despite that fact, very often there are quite many symptoms showing that something is going on. In some cases that is constant worry about something, present anxiety and discomfort. Many situations can lead to first panic attack. It can be some conflict on work or at home, some medical dysfunction, excitement, intoxication from amphetamine, cannabis, caffeine, alcohol, some traumatic moments, physical sexual contact and so on.
Fact where and how first panic attack showed, will determine patient response to the following attacks. Patient can develop some fear of future attacks and need of avoidance of such places and situations reminding him/her of their first panic attack.
