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Whatiftherapy.com
  • Home
  • About the Practice
  • About ERP
  • Fees and Insurance
  • OCD Self-Screening Tool
  • Client Portal

Treating Agoraphobia Online

Overcome Agoraphobia with ERP Therapy

Agoraphobia is an anxiety condition involving intense fear or avoidance of situations where escape might feel difficult, embarrassing, or unsafe—especially if panic symptoms occur. At WhatIf Therapy, we use Exposure and Response Prevention (ERP), the gold-standard behavioral treatment for panic and avoidance-based anxiety, to help you rebuild confidence and reengage with the parts of life you’ve been avoiding.


Whether your agoraphobia developed gradually, emerged during untreated OCD, or is tied to panic attacks, ERP offers clear, research-supported steps to get you moving again.


What Is Agoraphobia?

Agoraphobia often involves fear of:

  • Leaving the house
  • Driving (especially highways or long distances)
  • Stores, malls, busy public areas
  • Public transportation
  • Crowds or lines
  • Large parking lots
  • Being far from home or a “safe person”
  • Open spaces, bridges, or tunnels
  • Medical offices or appointments
     

It’s not just fear—agoraphobia often leads to avoidance, which reinforces the cycle and makes life feel smaller over time.

Some people with agoraphobia feel trapped at home. Others can go out but only with significant discomfort, safety behaviors, or limited routes. Whether mild or severe, agoraphobia is highly treatable.

Exposure and response prevention is effective people reduce isolation that results from agoraphobia.

ERP Approach for Agoraphobia

Identifying avoided situations

We pinpoint the places, distances, sensations, and scenarios you currently avoid.


You are never pushed beyond what’s appropriate. Together, we create a step-by-step ladder that gradually rebuilds your tolerance and confidence.


Examples include:

  • Walking outside or down the block
  • Driving short distances before progressing to highways
  • Entering stores or public places
  • Sitting in traffic
  • Standing in a checkout line
  • Visiting new areas alone


ERP helps replace:

  • “Just in case” rituals
  • Only going out with a partner
  • Sitting near exits
  • Carrying water, medications, or “safe objects”
  • Constant route planning, scanning, or escape-mapping


We help reduce fear of:

  • Rapid heart rate
  • Dizziness
  • Shortness of breath
  • Feeling trapped
  • Feeling faint


By facing situations gradually without using escape or safety behaviors, your brain relearns that you can handle discomfort—and that feared outcomes don’t occur.


Understanding Agoraphobia

ERP is effective for:

  • Fear of leaving home
  • Fear of public places
  • Fear of crowds or standing in lines
  • Fear of driving (freeways, bridges, left turns, long distances)
  • Fear of panic attacks
  • Avoidance of medical care
  • Fear of being alone
  • Avoidance after traumatic panic episodes
  • Dependence on a “safe person”
  • Difficulty traveling or going far from home


For agoraphobia, telehealth is often more effective than office-based therapy, because exposures happen in the actual environments where your anxiety shows up.

  • No need to drive to a clinic before you’re ready
  • Therapy from your home until you’re prepared to expand outward
  • Exposures guided live in your real environment (house, neighborhood, stores, car)
  • Flexibility for work, school, parenting, and unpredictable schedules
  • Real-time coaching during difficult exposures
     

For many, telehealth removes the barriers that make in-person treatment inaccessible.


OCD

Intrusive fears (harming others while driving, losing control, contamination, medical fears) can cause people to avoid leaving home or avoid certain routes—leading to agoraphobia patterns.


Panic Disorder

After one or two intense panic attacks in public, many people begin avoiding places “just in case.”


Generalized Anxiety

High baseline anxiety can make uncertain environments feel overwhelming.

ERP is effective across all three, and treatment is tailored to the primary driver of symptoms.


Clients often report:

  • Renewed independence
  • Increased confidence in driving or leaving home
  • Reduced panic
  • Less avoidance
  • Expanded social life
  • Ability to travel again
  • Greater overall functioning

ERP is challenging at times, but the payoff is life-changing.


Understanding Agoraphobia

Learn how ERP supports gradual, sustainable change.
Explore Treatment Options

Serving adults across California via secure telehealth.

Licensed in California and available to clients in Los Angeles, Long Beach, Orange County, Inland Empire, San Diego, San Francisco, Sacramento and throughout California via secure telehealth.

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Whatif Therapy

based in Lakewood, CA

714-686-9447

Whatif Therapy | Matthew Baker, LCSW (CA #121926)
Evidence-based treatment for OCD, Anxiety, and PTSD  .

Serving clients across California via secure telehealth.

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