Claustrophobia and cleithrophobia are closely related fears involving confined or restricted situations. Claustrophobia refers to the fear of enclosed spaces, while cleithrophobia refers more specifically to the fear of being trapped or unable to escape. In practice, many people experience a combination of both: anxiety in situations such as elevators, MRI scanners, airplanes, or crowded spaces where leaving quickly may feel difficult.
Cognitive behavioural therapy (CBT) with exposure is the recommended treatment for claustrophobia. In exposure therapy you practise step by step with situations where you feel trapped, such as lifts, small rooms or an MRI scanner, guided by a psychologist. For an MRI, some people are given a sedative or choose an open scanner. That helps you get through the scan, although it doesn't take away the fear itself. A newer form of CBT is Memrec, developed at the University of Amsterdam. Memrec targets the fear memory itself: the fear is briefly activated once, after which you take a single dose of a beta blocker. During your assessment we discuss which approach suits you best.
That depends on the treatment. Every treatment starts with an online diagnostic assessment. With Memrec, you then usually need two sessions at our clinic, on consecutive days: the treatment session and a follow-up the next day to test the effect. Regular CBT or exposure therapy usually takes 3 to 8 sessions after the assessment. Before you start, you can book a free 15-minute call with one of our psychologists.
The complete Memrec programme costs £1,595. We also offer exposure therapy and one-to-one consultations or CBT, online or hybrid, starting from £250 per session. The introductory call is free.
Tell the hospital in advance that you find the scan difficult. They can explain the procedure step by step, let you see the scanner beforehand, or check whether an open or wide-bore scanner is an option. During the scan it can help to close your eyes, listen to music and remember that you can always use the call button. Some people are given a sedative. Would you rather overcome the fear, or does the scan feel impossible right now? We can often make room for treatment within a week.