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Fear of flying: signs, symptoms and treatment.

Air travel is considered the safest modes of transport. Despite this, for a substantial number of people, the thought of flying invokes a profound fear. This fear, commonly known as aviophobia, affects many, hindering their ability to travel for both pleasure and business. The repercussions can be significant, reducing the enjoyment of travel and curtailing opportunities both professionally and personally.

My experience with fear of flying

From my experiences as a former cabin crew member, I’ve observed numerous passengers grappling with their fear of flying—some were visibly shaking, others in tears, and a few seemed as if they were in a trance, almost sleepwalking through the experience.

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This article aims to dissect the nature of this fear, how it presents itself, and suggests practical ways for individuals to manage and possibly conquer it, whether they seek medical intervention or not.

What is fear of flying?

Fear of flying refers to the anxiety or phobia that that is triggered by air travel. While the intensity can vary widely from mild anxiety to severe phobia, the fear often encompasses several aspects, including fear of confined spaces (claustrophobia), fear of heights (acrophobia), and sometimes, fear based on misconceptions about the safety of air travel.

For some, the anxiety is specific to air travel, while for others, it may be part of a broader pattern of anxiety.

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Recognising the signs and symptoms

Individuals with a fear of flying often experience:

– Intense anxiety or panic attacks before and during flights.

– Physical symptoms such as sweating, shaking, trembling, heart palpitations, shortness of breath, dizziness, feeling a loss of control and nausea.

– Avoidance behaviour, where individuals may go to great lengths to avoid flying or even thinking about flying.

Forms of fear of flying

1. Fear of crashes: often exacerbated by media reports and rare but highly publicised air disasters.

2. Fear of losing control: the feeling of not being in charge can lead to significant anxiety.

3. Fear of turbulence: physical sensations during flight can trigger panic.

4. Claustrophobia: the confined space of the aircraft can feel suffocating to some.

5. Misinformation: Misunderstandings about the mechanics and safety of air travel can exacerbate fear.

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Misconceptions and realities

A significant aspect of aviophobia stems from misconceptions. Modern aircraft are equipped with multiple safety features and are operated by professionals who undergo rigorous training. Learning the facts about flight safety can reassure and reduce fears significantly.

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Impact on life and ways to mitigate it:

Fear of flying can restrict people’s ability to travel, impacting personal relationships, career opportunities, and overall quality of life. This means, living with a fear of flying can close off parts of the world and limit personal growth and opportunities

Overcoming this fear can open up a world of possibilities, enhancing personal freedom and enabling individuals to explore new cultures and experiences without dread.

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Lifestyle considerations:

– Avoid stimulants: Reduce or avoid caffeine and sugar before flights as they can heighten anxiety.

– Healthy sleep patterns: ** Ensure adequate rest before your flight to help manage stress levels.

– Professional Guidance: While this article focuses on self-help, consulting with a therapist who specializes in anxiety disorders can provide tailored strategies and support.

Examples of people with fear of flying

Many people experience fear of flying, including celebrities.

  1. Muhammad Ali, the legendary boxer, did have a fear of flying. This fear surfaced early in his boxing career. Interestingly, to help manage his fear during flights, Ali would often carry a parachute with him. His approach to dealing with the fear was practical and a bit humorous, characteristic of his larger-than-life personality. Despite his fear, Ali travelled extensively around the world for his boxing matches and various appearances.
  2. Whoopi Goldberg – The acclaimed actress and television host has publicly discussed her fear of flying, which had at times limited her travel options. She has taken specific courses designed to help alleviate this fear.
  3. Jennifer Aniston – The well-known actress from the TV show “Friends” has spoken about her fear of flying, especially when experiencing turbulence.
  4. Megan Fox – The American actress has mentioned in interviews that she has a fear of flying and that listening to Britney Spears’ music is one of her coping mechanisms.
  5. Colin Farrell – The Irish actor has talked about his fear of flying, which he confronts because his profession frequently requires travel.
  6. Travis Barker – The musician from the band Blink-182 had a severe fear of flying, especially following his survival of a plane crash in 2008. However, reports suggest he has been working on overcoming this phobia.

Treatment without medical help

While clinical interventions exist, many people prefer to manage their fear without medical help. Here are several effective strategies:

Before the Flight:

– Educate Yourself: Understanding how airplanes work can alleviate fears triggered by sounds and sensations during the flight.

– Familiarisation: Visiting the airport or watching videos about flying can help reduce anxiety by making the experience more familiar.

– Relaxation Techniques: Practicing deep breathing exercises, meditation, or yoga before a flight can significantly reduce stress levels.

– Mental conditioning: Use visualization techniques to imagine yourself flying and managing your anxiety successfully. This mental rehearsal can build familiarity and reduce fear.

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Day of the Flight:

Arrive early: Give yourself plenty of time to acclimate to the airport environment without feeling rushed.

Comfortable clothing: Wear clothes that make you feel comfortable and at ease.

Stay hydrated: Drink water to stay hydrated, but avoid caffeine and alcohol as they can exacerbate anxiety.

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During the Flight:

– Distraction: Bring activities that keep your mind occupied. Watching movies, listening to music, or reading can divert your attention and help manage anxiety.

– Stay hydrated: Avoid alcohol and drink plenty of water to help keep your body relaxed.

– Talk about it: Informing the flight crew about your fear can prompt additional support and reassurance during the flight.

– Controlled breathing: Practice deep breathing exercises to help control panic and anxiety when triggered.

-Movement: Occasionally walk around the cabin or stretch in your seat to manage anxiety and physical discomfort.

– Use of technology: Apps like Turbcast can predict when turbulence might occur and explain noises and sensations during the flight to help demystify the experience.

Airlines support

Airlines can offer various forms of support to passengers with aviophobia to help them manage their anxiety and have a more comfortable flight experience.

Here are some ways airlines can assist:

  • Pre-Flight communication: Providing detailed information about the flight process, what to expect, and reassurances about safety can help alleviate fears.
  • Special assistance Programs: Some airlines and airports offer classes or workshops designed to help passengers overcome their fear of flying.
  • In-flight support: Flight attendants can be informed of a passenger’s fear and provide reassurance and support as needed during the flight3.
  • Relaxation tools: Offering access to relaxation channels, music, or in-flight entertainment can help distract and calm nervous passengers1.
  • Real-time information: For some, having access to real-time flight information, such as turbulence forecasts, can provide a sense of control and reduce anxiety.
  • Professional resources: Referring passengers to external programs and professionals who specialize in treating aviophobia can be beneficial for long-term management.
  • Accommodations: If needed, airlines can provide special seating arrangements or allow early boarding to help reduce stress levels.

By implementing these supportive measures, airlines can significantly improve the flying experience for those with aviophobia, making air travel more accessible and less daunting.

https://flyingwithconfidence.com

Family support

Family and friends can play a crucial role in supporting someone with aviophobia during a flight. Here are some ways they can help:

  • Understand their fear: Recognize that aviophobia is a real and distressing condition. Be empathetic and patient with their concerns.
  • Prepare together: Help them prepare for the flight by discussing what to expect and planning coping strategies.
  • Provide a calming presence: Stay calm and composed yourself, as this can help reassure the person who is anxious.
  • Communicate with cabin crew: Let the flight attendants know about the aviophobia so they can assist if needed.
  • Offer distractions: Bring along books, games, music, or movies to help distract them from their anxiety during the flight.
  • Validate their feelings: Acknowledge their fear without judgment. Validation can be comforting and reduce feelings of isolation.
  • Use comfort objects: Encourage them to bring items that provide comfort, such as a favourite blanket or a stress ball.
  • Practice Relaxation Techniques: Guide them through deep breathing exercises or meditation if they start to feel anxious.
  • Stay positive: Maintain a positive and reassuring attitude throughout the journey.

By providing understanding, preparation, and a supportive presence, family and friends can significantly alleviate the

Long-term strategies:

– Exposure therapy: Gradually expose yourself to flying, starting with shorter flights and progressively tackling longer ones.

– Join a support group: Engage with groups such as fear of flying clinics or online support communities where experiences and coping strategies are shared.

– Simulator sessions: Some airports and therapy centres offer flight simulators designed to acclimate nervous flyers to the sensations of flying.

– Cognitive behavioural therapy (CBT): Techniques focused on changing thought patterns about flying can be practiced independently.

Medical Treatments

Doctors may prescribe anti-anxiety medications, such as benzodiazepines, for short-term relief of acute anxiety symptoms. These are usually taken before a flight.

In cases where the phobia is severe or accompanied by other anxiety disorders, antidepressants like SSRIs (selective serotonin reuptake inhibitors) may be prescribed for longer-term management.

Some of the fear of flying clinics, groups and communities around the world

Treating the fear of flying involves specialized therapy programs, often offered by clinics that focus on anxiety disorders or specific phobias. Here are some notable clinics and programs across various regions that are known for their work in helping individuals overcome aviophobia:

United States

1. SOAR, Inc.- Founded by Captain Tom Bunn, a licensed therapist and former commercial pilot, SOAR offers comprehensive courses designed to help individuals overcome their fear of flying through cognitive behavioural therapy and other techniques.

https://www.fearofflying.com

2. Fear of Flying Clinic – Based at various airports, including San Francisco International Airport, this clinic offers courses that include education about flight mechanics, sessions with pilots, and exposure therapy.

https://www.fofc.com

Canada

1. Anxiety Treatment and Research Clinic (ATRC) – Located in St. Catherine’s, Ontario, this clinic offers treatment for various anxiety disorders, including fear of flying, utilizing evidence-based practices like cognitive behavioural therapy.

https://www.stjoes.ca/health-services/mental-health-addiction-services/mental-health-services/anxiety-treatment-and-research-clinic-atrc

2. Vancouver Anxiety Centre – Offers treatment for various phobias, including fear of flying, using techniques such as exposure therapy and virtual reality.

https://www.vancouveranxiety.com

Europe

1. Phobia man (UK) – Offers courses that include sessions with airline captains, psychologists, and a practical flight experience where participants take a short flight.

2. Hypnosis and therapy in Copenhagen (Denmark) – Known for its intensive treatment programs, including specific courses and therapy for fear of flying.

Australia

1. Anxiety, disorders and trauma clinic Adelaide, Australia – Provides tailored treatments for phobias, including fear of flying, utilizing the latest therapeutic techniques.

https://adtc.net.au/adelaide

Middle East

1. The Light House Arabia (Dubai, UAE) – Offers mental health services, including treatments for various phobias and anxiety disorders.

https://www.lighthousearabia.com

2. American Center for Psychiatry and Neurology (ACPN) – With locations in Abu Dhabi, Dubai, and Sharjah, ACPN offers therapy for a range of mental health issues, including phobias.

https://americancenteruae.com

Africa

1. Akeso Clinics (South Africa) – A group of private psychiatric hospitals offering comprehensive mental health services, including treatment for phobias like fear of flying.

https://www.netcare.co.za/netcare-facilities/akeso-kenilworth

2. The Anxiety and Trauma Clinic (Cape Town, South Africa) – Specializes in the treatment of anxiety disorders and traumatic stress, including specific phobias.

https://www.atclinic.co.za

These clinics, centres, groups and communities utilise a variety of therapeutic approaches, including cognitive behavioural therapy, exposure therapy, and sometimes virtual reality techniques, all aimed at helping individuals manage and overcome their fear of flying. It’s always advisable to check the specific services and programs offered by each clinic to ensure they meet individual needs.

Conclusion

Fear of flying is a widespread issue but is not insurmountable. Through a combination of education, practical strategies, and mental conditioning, individuals can significantly reduce their anxiety associated with flying. Understanding the triggers of this fear and methodically addressing them enables individuals to gradually overcome their phobia, thereby enhancing their capacity for both personal and professional growth. Taking proactive steps, whether through gradual exposure or therapeutic techniques, can transform air travel from a source of dread to an avenue for adventure and fulfilment. Remember, stepping outside your comfort zone is the first step toward conquering your fears and expanding your horizons.