Find care near you in 10 minutes with our online assessment.
Agoraphobia vs social anxiety: Are they the same?

Agoraphobia vs social anxiety: Are they the same?

Agoraphobia and social anxiety are both anxiety disorders, but one involves a fear of not being able to easily escape situations, while the other is a fear of social interactions.

Reviewed by:
Austin Lin, MD
|
View bio
April 22, 2024
Original source:

Key takeaways

It's common for people to feel nervous in public settings or large social situations. However, when this anxiety starts to impact your day-to-day quality of life, it may mean you have an anxiety disorder. Two types of anxiety disorders that can contribute to these challenges are social anxiety and agoraphobia. While both of these mental health conditions can cause intense distress that leads you to avoid certain situations, they have different underlying causes: agoraphobia specifically involves an intense fear of being in situations where escape would be difficult, while social anxiety revolves around the fear of being judged or scrutinized in social social interactions.  

In this article, we explain the differences—and similarities—between agoraphobia and social anxiety, as well as treatment options to help you overcome these situations and live your life a bit more at ease.  


Expert care for anxiety is here. See if Talkiatry is right for you.

Start our short assessment

What is agoraphobia?

Agoraphobia is a type of anxiety disorder where you feel trapped and afraid in situations where escape might be challenging or difficult. If you have agoraphobia, you may feel unsafe on public transportation or in a large crowd without having an easy way out. You might feel panicked leaving the house alone, waiting in long lines, being in enclosed public places like an elevator, or even being in more open spaces with more people like a mall or outdoor concert. If these types of situations make you feel panicked, and the symptoms last six months or longer, then you may be dealing with this type of anxiety disorder.

In some cases, people who have agoraphobia may also come with diagnosis of panic disorder, which results in panic attacks from anxiety. Your fear may intensify into physical symptoms, like a rapid heart rate, trouble breathing, chest pain, lightheadedness, feeling shaky or numb, sweating or chills, upset stomach, and feeling a loss of control.  

Talking with a mental health professional can help you understand any agoraphobic symptoms as well as potential panic disorder and provide a treatment plan to help you feel better.

What is social anxiety disorder?

Social anxiety disorder, also known as social phobia, is a mental health condition that causes you to have intense fear and anxiety regarding social situations. If you have social anxiety disorder, you likely struggle with feeling self-consciousness and embarrassment in social settings, and fear others will scrutinize or judge you. Social anxiety goes beyond shyness, and its effects can seep into everyday situations like work, school, and other activities that involve interactions with others. It can put a strain on your relationships with loved ones since your heightened self-consciousness might cause you to avoid social events altogether.

The likelihood of you having this disorder is a bit more common compared to agoraphobia; it is known to be the second most common anxiety disorder, affecting 7% of U.S. adults.

To learn more about the symptoms of social anxiety disorder, check out: Social anxiety vs shyness

What’s the difference between agoraphobia and social anxiety?

Agoraphobia and social anxiety are both anxiety disorders and phobias, but agoraphobia is a fear of not having a route for easy escape, while social anxiety is fear of interaction with others where they can easily be embarrassed or judged.  

Here’s a closer look at the two disorders side by side.  

Common symptoms Agoraphobia Social anxiety
Feared situations Being trapped somewhere without an escape Being judged and feeling embarrassed in front of others
Avoidance Situations where there are crowds and a perceived difficulty of leaving; new environments that aren’t familiar or “safe” Social situations where there are people to interact with, such as work, school, parties, etc.
Physical symptoms Panic attacks, chest pain, rapid heart beat, dizziness, sweating, nausea, feeling loss of control in a situation Blushing, sweating, trembling, rapid heart beat, having their mind “go blank” because they don’t know what to say or do
Negativity toward yourself Negativity toward your self esteem, which in some cases can lead to depression Negative self talk toward how you appear to others and how you perceive yourself

Can you have both?

According to research, it’s quite common for people to experience more than one type of anxiety disorder, and as many as 90% of people with social anxiety also experience another mental health condition. So, it's possible for someone to have both agoraphobia and social anxiety disorder at the same time. When two or more health conditions occur together, we call it comorbidity.  

Although the specific fears between agoraphobia and social anxiety are different, it can still be difficult to make a diagnosis between the two given their similarities in terms of where and how the anxiety is triggered. For instance, public situations with large crowds can set off anxiety symptoms for either condition—although one is an anxiety of feeling trapped while the other is an anxiety of having to interact with others.

If you’ve wondered which one you might have, or if you have both, it’s a good idea to speak to a professional, like a psychiatrist. They can give you a diagnosis and help you understand what it is you’re experiencing. Both agoraphobia and social anxiety disorder are also linked to a higher likelihood of developing other mental health disorders like depression and alcohol or substance dependence.


We're in-network with 60+ major insurance plans.

Check your insurance

How to treat agoraphobia and social anxiety

There are different forms of treatment that can help the intensity of symptoms of agoraphobia and social anxiety disorder and make you feel a little more comfortable in crowded places and social settings.

Talk therapy

Psychotherapy, also known as "talk therapy," is a widely used treatment option where you have conversations with a psychologist, psychiatrist, or another mental health professional. One specific type of talk therapy is cognitive behavior therapy (CBT) which focuses on understanding your feelings and emotions. You’ll learn to identify and challenge negative thought patterns and gain new ways of thinking that’ll help react and respond better in specific settings. The goal is to empower you to navigate the settings that trigger your anxiety with more ease and confidence.  

Exposure therapy

Exposure therapy is another treatment for agoraphobia, social anxiety, and other specific phobias that’s more hands on. It involves gradually facing whatever it is you’re afraid of and the things that cause you anxiety in a safe and controlled way. A therapist typically guides you through the process.  

For agoraphobia, exposure therapy could involve going outside as a first step and gradually taking on more situations outside of your comfort zone. That might mean simple outings, like walking around the neighborhood, and working your way up to the pharmacy, a movie, and then the subway, and eventually a baseball game.  

For social anxiety, exposure therapy might focus on practicing conversational skills and participating in group activities. You might start out with having a small gathering with a few close friends and then gradually work your way up to larger events and unfamiliar settings like a workplace happy hour with people from different departments.  

It can feel scary, but each of these small exposure can help you build up your confidence and lessen your anxiety over time.  

Medication

If you have social anxiety or agoraphobia, know that medication can help, too. Your doctor may prescribe anti-anxiety medications and antidepressants along with therapy. SSRIs (selective serotonin reuptake inhibitors) are often recommended as the first line of defense for anxiety disorders, and benzodiazepines like Xanax (alprazolam) are also effective treatments for the short-term.

To learn more about the different types of treatment available, check out: Which anxiety medication is best for you?

If you think you have social anxiety or agoraphobia, don’t wait to get help. Talkiatry is a national psychiatry practice that provides virtual in-network care so you can see a mental health professional from the comfort of your home. We treat a variety of conditions, including generalized anxiety disorder, social anxiety, and agoraphobia. Fill out a quick assessment to get matched with a psychiatrist and schedule your first appointment.  

The information in this article is for education and informational purposes only and should never be substituted for medical advice, diagnoses, or treatment. If you or someone you know may be in danger, call 911 or the National Suicide and Crisis Lifeline at 988 right away.

Learn about the conditions we treat

How it works
Tip #1
Tell us about you
Take 10 min to tell us about why you’re seeking care and what you’re looking for.
Tip #2
Explore your matches
We’ll show you the bios and treatment approaches of doctors who are a match for you.
Tip #3
Schedule your visit
Find a time that works for you. We can usually see you in just days.
Tip #4
Start your journey
Join your visit from the comfort of home and get a personalized treatment plan.
Laptop computer simulation showing a psychiatry session with a psychiatrist
Start our short assessment

Frequently asked questions

Does Talkiatry take my insurance?

We're in network with major insurers, including:

  • Aetna
  • Blue Cross Blue Shield
  • Cigna
  • Humana
  • Medicare
  • Oscar
  • United Healthcare
  • Optum
  • Compsych

Even if your insurer isn't on the list, we might still accept it. Use the insurance eligibility checker in our online assessment to learn more.

Can I get an estimate of my visit cost?

The best way to get a detailed estimate of your cost is to contact your insurance company directly, since your cost will depend on the details of your insurance.  

For some, it’s just a co-pay. If you have an unmet deductible it could be more.  

Call the number on your insurance card and ask about your plan’s coverage for outpatient psychiatric services.

How does Talkiatry compare to face-to-face treatment?

For most patients, Talkiatry treatment is just as effective as in-person psychiatry (American Psychiatric Association, 2021), and much more convenient. That said, we don’t currently provide treatment for schizophrenia, primary eating disorder treatment, or Medication Assisted Treatment for substance use disorders.

What kind of treatment does Talkiatry provide?

At Talkiatry, we specialize in psychiatry, meaning the diagnosis and treatment of mental health conditions. Your psychiatrist will meet with you virtually on a schedule you set together, devise a treatment plan tailored to your specific needs and preferences, and work with you to adjust your plan as you meet your goals.

If your treatment plan includes medication, your psychiatrist will prescribe and manage it. If needed, your psychiatrist can also refer you to a Talkiatry therapist.

What's the difference between a therapist and psychiatrist?

Psychiatrists are doctors who have specialized training in diagnosing and treating complex mental health conditions through medication management. If you are experiencing symptoms of a mental health condition such as depression, anxiety, bipolar disorder, PTSD, or similar, a psychiatrist may be a good place to start.  

Other signs that you should see a psychiatrist include:  

  • Your primary care doctor or another doctor thinks you may benefit from the services of a psychiatrist and provides a referral    
  • You are interested in taking medication to treat a mental health condition  
  • Your symptoms are severe enough to regularly interfere with your everyday life

The term “therapist” can apply to a range of professionals including social workers, mental health counselors, psychologists, professional counselors, marriage and family therapists, and psychoanalysts. Working with a therapist generally involves regular talk therapy sessions where you discuss your feelings, problem-solving strategies, and coping mechanisms to help with your condition.

Who can prescribe medication?

All our psychiatrists (and all psychiatrists in general) are medical doctors with additional training in mental health. They can prescribe any medication they think can help their patients. In order to find out which medications might be appropriate, they need to conduct a full evaluation. At Talkiatry, first visits are generally scheduled for 60 minutes or more to give your psychiatrist time to learn about you, work on a treatment plan, and discuss any medications that might be included.

About
Austin Lin, MD

Dr. Austin Lin is a double board-certified adult and addiction psychiatrist who has been in practice for over 9 years. At the center of Dr. Lin’s clinical approach is a strong emphasis on establishing trust and using a collaborative approach to help patients develop an individualized and cohesive plan so that they are able to achieve their goals.

Dr. Lin's practice focuses on medication management. Typically, he offers this in conjunction with supportive therapy, motivational interviewing, and/or cognitive behavioral therapy in 30-minute follow-up visits. Occasionally, Dr. Lin may recommend that additional therapy is needed and ask that you bring a therapist into your care team in order to provide the best outcome.

Dr. Lin received his medical degree from St. George’s University School of Medicine. He went on to complete his residency in psychiatry at Harvard South Shore, an affiliate of Harvard Medical School, where he served as Chief Resident and earned his 360° Professionalism award. He then had additional training in Addiction Psychiatry through his fellowship at the University of Texas Southwestern Medical Center. After completing training, Dr. Lin has worked as an Addiction Psychiatrist and Director of Adult Services in the Trauma and Resilience Center (TRC) at the University of Texas Health Science Center at Houston (UTHealth). He specialized in treating patients with a history of depression, anxiety, trauma, and substance use disorders.

Dr. Lin has held an academic appointment at UTHealth, and he has spent his professional career supervising and teaching medical students and psychiatry residents.



Read more
Article sources
Related posts
June 28, 2024

How long does Lexapro take to work?

Read more ›
June 27, 2024

Paxil vs Zoloft: Comparing medications

Read more ›
June 27, 2024

Why do I wake up angry? How do I stop?

Read more ›
June 24, 2024

Social anxiety vs avoidant personality disorder: How can you tell them apart?

Read more ›
June 22, 2024

Mind always racing? Here’s why and how to stop racing thoughts

Read more ›
June 22, 2024

Does Lexapro help with social anxiety?

Read more ›

Mental health is personal.
So is our approach to psychiatry.

Get started
Close