The flying anxiety treatment process typically involves a combination of strategies and therapies to reduce fear, manage anxiety, and gradually build confidence in flying. Flying anxiety treatment like I offer is structured and, for most people, airplane flying. Here’s a general outline of the treatment process:

Flying Anxiety Treatment Goals

The first step in flying anxiety treatment is setting goals. I usually set three overall goals for this type of treatment, though the actual details can vary based on the severity of the anxiety and your specific needs. Here are some common treatment goals for flying anxiety.

Understanding and Education

By the end of treatment, I hope to help you better understand the mechanics of flying, the safety measures in place, and the statistics supporting air travel safety. Providing accurate information about the various aspects of flying can help dispel misconceptions and irrational fears. This is an essential initial step in cognitive-behavioral treatment and will be the backdrop against which we will later identify and challenge negative thought patterns and beliefs related to flying. 

Flying Anxiety Treatment Toolkit

I want to work to help you develop a toolkit that helps you with your particular fears. This toolkit will be uniquely tailored to when you experience your fears. It may include visualization, deep breathing, progressive muscle relaxation, biofeedback, positive self-talk, and mindfulness meditation. It may also include building a positive support network and communicating more effectively when anxious. Finally, it may include other aspects of self-care before and after flights, such as ways to fall asleep, nutrition tips, and exercise ideas.

Exposure and Goal Setting

The other goal of flying anxiety treatment is exposure through technology such as virtual reality that can simulate flying experiences in a controlled environment, guided visualization, or actual slights. We will set goals to gradually increase exposure at a pace that you are comfortable with, perhaps starting with just visiting an airport without flying and watching planes take off and land. I want you to feel a sense of accomplishment after these steps!

Flying Anxiety Treatment Initial Steps

The first step we will do is to educate you about flying and aviation. Learning about the safety measures, statistics, and the science behind flight can help dispel myths and misconceptions contributing to anxiety. That will help us start identifying and challenging negative thought patterns related to flying. Our goal will be to replace irrational fears with more rational and realistic beliefs.

What Causes Flight Anxiety

It’s not always essential to know precisely where the flying anxiety came from in the first place. In fact, for many people, the reason stays elusive even if we try. The good news is that, unlike many other challenges I treat, knowing the reasons is not essential. We will still talk about it since many people are curious about why this is happening. There are different reasons that people describe for their flight anxiety, including:

  1. Fear of the unknown: Many people fear the novel aspects of flying, such as the sensation of being in the air, turbulence, and the complexity of aircraft systems. This fear is often overcome after a few flights, though avoidance of flying due to these fears can lead to increased fear.
  2. Fear of crashes: Although statistically rare, concerns about plane crashes can be a significant source of worry. High-profile aviation incidents in the media, as can realistic depictions in movies and TV, can exacerbate this fear.
  3. Claustrophobia: The limited space within an aircraft cabin can trigger a fear of enclosed spaces, especially on long flights, as can a fear of heights.
  4. Lack of control: Passengers have no control over the flight, which can be distressing for those who like to control their environment. Turbulence can cause discomfort for many passengers who want to feel like they have control, even though it’s a normal part of flying.
  5. Fear of terrorism: Concerns about terrorism and hijacking can contribute to flight anxiety, especially in the aftermath of high-profile incidents.
  6. Previous traumatic experiences: Individuals who have experienced a traumatic flight or other stressful incidents during travel may develop flight anxiety as a result.

Less Common Causes of Flight Anxiety

  1. Social anxiety: Some people may fear the social aspects of flying, such as sitting close to strangers or worrying about interactions with flight attendants and fellow passengers.
  2. Health concerns: People with medical conditions or fearing becoming ill during a flight may experience fear.
  3. Fear of flying alone: Flying without a companion can be a source of anxiety for some individuals.
  4. Generalized anxiety: People with a tendency toward anxiety may experience it more acutely when flying due to the stressors and uncertainties associated with air travel.
  5. Noise and discomfort: The loud sounds, crowded conditions, and the discomfort of sitting in a confined space for an extended period can contribute to anxiety.

It’s important to note that flight anxiety can range from mild discomfort to a debilitating condition. Many strategies, including therapy, relaxation techniques, and medications, can help individuals manage and overcome their flight anxiety. If you or someone you know struggles with this, consider seeking support from a mental health professional or a flight anxiety program to address the specific triggers and fears.

Exposure and Relaxation

Our next step is to gradually – at a comfortable pace – expose yourself to the aspects of flying that trigger anxiety. This could start with looking at pictures of airplanes, then watching videos of takeoffs and landings, and eventually progressing to simulated flights and actual flights. At this point, we will also work on relaxation techniques that might include deep breathing exercises to calm your body’s physiological responses to anxiety, learning to relax your muscles systematically to reduce tension and promote a sense of calm, and mindfulness and meditation, which help you stay focused on the present moment and reduce excessive worrying about the future.

Adjunctive Therapy

We might use virtual reality to allow you to experience flying in a controlled and simulated environment. It can be a helpful tool for gradually desensitizing yourself to the fear of flying. We might also see if there are local support groups if you want to connect with others who share similar fears and can provide a sense of understanding and community. Sharing experiences and coping strategies can be empowering.

While medications may help some people, they do not cure flying anxiety. You can talk to your primary care provider about medications for short-term relief while we work on fixing things longer-term.

Flying anxiety is sometimes the only presenting concern when people come for treatment, but at other times, there are other anxieties that people want to work on. I can tailor my services in either case.

Flying Anxiety Last Steps

Over time, we’ll work on exposing yourself to increasingly real-life flight scenarios. This might start with spending time at an airport, then progressing to short flights, and eventually longer flights. It will be essential to recognize and celebrate your achievements along the way. Each step you take toward overcoming flying anxiety is a significant accomplishment.

Your treatment process will be highly individualized – what works for one person might not work for another. You can see one example of airplane flying in another post. I look forward to talking with you further if you want to learn more about my flying anxiety treatment.

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Dr. Alan Jacobson Psychologist
Dr. Jacobson is a licensed clinical psychologist providing individual, couples, and family therapy for over 20 years. He uses an integrative approach. choosing from a variety of proven and powerful therapeutic methods.