Agoraphobia With Panic Disorder in a Psychiatric Setting: A Case Report

Author:

Olose Emmanuel Omamurhomu1,Busari Cecilia Oluwafunmilayo2,Anake Godwin Akepu1,Orovwigho Andrew3,Ugoma Israel Obedjemurho4

Affiliation:

1. University of Calabar

2. Leeds Beckett University

3. Federal Neuropsychiatric Hospital

4. University of Delta

Abstract

Abstract

Background: Agoraphobia diagnosis has largely remained unchanged, with its criteria based on persistent fear and avoidance of certain clusters of situations. The controversial diagnosis of Agoraphobia with or without a history of panic disorder has also been retained in classification systems; with the understanding that patients either generally have never fully met or meet the diagnostic criteria for panic attacks. Case report: A 49-year-old female presented to an outpatient Psychiatric clinic with a 12-year history of fear of enclosed spaces which was precipitated by an unstable relationship with a male partner who frequently assaulted, abused, and neglected her because she refused to terminate an unplanned pregnancy, she had for him. According to ICD-11, she was diagnosed with Agoraphobia with panic attacks, she was treated with Tab. Fluoxetine 20mg and Cognitive Behavioural Therapy and in the past two years she improved significantly with appropriate consistency in her follow-up visits. Conclusion: This case report shines a beam of light on the very few reported cases of agoraphobia and its incapacitating course on those who suffer from it. In Nigeria, there is scanty literature on agoraphobia, for multiple reasons such as stigma, the embarrassing nature of the illness, and no disclosure of illness.

Publisher

Research Square Platform LLC

Reference12 articles.

1. Robert Boland & Marcia Verduin. Kaplan & Sardock’s synopsis of Psychiatry. 12th ed. Robert Joseph Boland & Marcia Verduin, editor. Wolters Kluwer;; 2022.

2. World Health Organization. International Classification of Diseases - Chap. 06 Mental, behavioural or neurodevelopmental disorders. In: ICD-11. 2018, 32.

3. The epidemiology of fears and phobias with particular reference to the national survey of agoraphobics;Burns LE;he Jounal Int Med Res,1997

4. Agoraphobia: phenomenological aspects, associated characteristics, and theoretical considerations;Foa EB;Clin Psychol Rev,1984

5. Tibi L, Van Oppen P, Aderka IM, Van Balkom AJLM, Batelaan NM, Spinhoven P et al. An admixture analysis of age of onset in agoraphobia. J Affect Disord [Internet]. 2015;180:112–5. http://dx.doi.org/10.1016/j.jad.2015.03.064, Accessed 15th March 2024.

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