support for flying phobia
With a significant phobia you can self-refer to Buckinghamshire Talking Therapies for cognitive behavioural therapy.
From NHS Buckinghamshire Talking Therapies
One to one support: Cognitive Behavioural Therapy (CBT) One to one support – NHS Buckinghamshire Talking Therapies
From Fit for Travel
Air Travel: See under “Potential in flights health problems” -fear of flying Air Travel – Fit for Travel
A number of organisations also offer private “fear of flying courses” which many patients have found have allowed them to fully overcome their fears including
GP practices do not prescribe diazepam for fear of flying
The reasons for this are around safety and national guidance which is explained in detail below:
Diazepam Diazepam | Prescribing information | Generalized anxiety disorder | CKS | NICE
Contraindications and cautions of diazepam
Do not prescribe diazepam to people with: “Phobic or obsessional states, psychosis or schizophrenia, hyperkinesis — paradoxical reactions may occur.”
Fear of flying is defined as a phobia, so the NICE guidance suggests not prescribing diazepam for a phobia such as fear of flying.
From the British National Formulary (BNF)
Diazepam DIAZEPAM | Drug | BNF content published by NICE
Paradoxical effects: “A paradoxical increase in hostility and aggression may be reported by patients taking benzodiazepines.” Such an event would be unsafe in the enclosed space of a plane.
Common Side effects “Alertness decreased… confusion (more common in elderly) … drowsiness”. None of these potential side effects are safe in the plane environment, particularly with the higher risk of deep vein thrombosis (see above for more information on clots), nor are the side effects conducive to looking after children or driving after a plane flight.