sofidexFor patientsAre you a clinician? Clinical site

Warning-sign checks

Agoraphobia: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Emergency medical care is appropriate for new severe chest pain, fainting, major breathing difficulty, sudden weakness, or other symptoms that could represent a medical emergency.

    Immediate crisis support is also needed if a person is at risk of harming themselves or someone else, cannot stay safe, or cannot meet basic needs.

    In the United States, call or text 988 for crisis support, or call emergency services when there is immediate danger.

    Other countries have local crisis and emergency services.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    A clinician should be contacted promptly if anxiety is rapidly worsening, the person is increasingly unable to leave home, substance use is increasing, or treatment side effects are difficult to manage.

    New or severe physical symptoms should not automatically be assumed to be anxiety.

  3. 3

    Does any of this apply?

    Book an appointment

    Follow-up allows the clinician and patient to review progress, barriers, side effects, and treatment goals.

    Improvement may be uneven.

    A difficult day or return of anxiety does not necessarily mean that treatment has failed.

    Routine follow-up is appropriate when symptoms are stable but continue to restrict daily activities.

    It is also important when starting, changing, or stopping medication.

    Antidepressants and benzodiazepines should be changed with professional guidance rather than adjusted independently.

Every sign above is quoted from the sofidex article on Agoraphobia. If you are not sure, err upward — it is always reasonable to be checked.