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Protocol · Mental Health & Mood

Agoraphobia Supportive Care Protocol

Inositol and Lavender Oil (Silexan) are the core of this stack, with 7 supporting supplements. Each row gives the amount the protocol lists and the grade our evidence database holds for that supplement in Agoraphobia Supportive Care.

We are re-verifying the studies cited on protocol pages; only confirmed citations are shown.

The stack

9 supplements · 2 graded · 1 confirmed study

Amount listed in this protocol; not a recommendation.

Supplements in the Agoraphobia Supportive Care protocol, with the amount the protocol lists, the grade on file and confirmed studies
GradeSupplementAmount listedWhy it’s in the stackEvidence on fileShop
Primary stackThe core of this protocol
InositolAmount listed: 12–18 g daily in divided doses (start lower, titrate up)

Acts as second messenger in serotonin system; reduces panic and anxiety symptoms which often accompany agoraphobia

  • Anxiety Symptoms: improves
  • Panic Attacks: improves
Grade C for Anxiety Symptoms3 studies · 21 people

Confirmed studies for Inositol (titles as PubMed lists them)

Lavender Oil (Silexan)Amount listed: 80–160 mg Silexan (standardized lavender oil) daily

Anxiolytic effects comparable to low-dose benzodiazepines without sedation or dependence

Not graded yet
Supporting stackListed as additions to the core
KavaAmount listed: 100–250 mg kavalactones daily (use only noble kava, limit duration)

GABAergic herb with proven anxiolytic effects; may help with anticipatory anxiety

  • Aggression: improves
  • Anxiety Symptoms: improves
  • Subjective Well-Being: improves
  • Liver Enzymes: changes; see studies
Grade C for Aggression141 people
MagnesiumAmount listed: 300–400 mg daily (glycinate for calming effects)

Calming effect on nervous system; helps with anxiety and stress symptoms

Not graded yet
L-TheanineAmount listed: 100–400 mg as needed or daily

Promotes calm without sedation; can be used as needed before anxiety-provoking situations

Not graded yet
PassionflowerAmount listed: 250–500 mg extract daily or as needed

GABA-ergic herb with anxiolytic effects; may help with acute anxiety

Not graded yet
AshwagandhaAmount listed: 300–600 mg standardized extract daily

Adaptogen that reduces cortisol and chronic stress; may help with underlying anxiety

Not graded yet
Omega-3 Fatty AcidsAmount listed: 2–3 g EPA+DHA daily (higher EPA for mood)

Anti-inflammatory effects on brain; may reduce anxiety symptoms

Not graded yet
Vitamin DAmount listed: 2,000–4,000 IU daily (target 40–60 ng/mL)

Deficiency associated with anxiety disorders; supports overall mental health

Not graded yet

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  • Grade C
  • Grade C

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How this protocol works

In plain language

Agoraphobia is an anxiety disorder characterized by intense fear and avoidance of situations where escape might be difficult or help unavailable during a panic attack or anxiety symptoms. Common feared situations include public transportation, open spaces, enclosed spaces (like stores), crowds, or being outside the home alone. People with agoraphobia often restrict their activities significantly, and severe cases can lead to being housebound. Agoraphobia frequently occurs with panic disorder but can exist independently.

CRITICAL: Agoraphobia is highly treatable with proper therapy. Cognitive Behavioral Therapy (CBT) with exposure therapy is the gold standard - it teaches you to gradually face feared situations while managing anxiety. SSRIs are also effective. Without treatment, agoraphobia tends to become chronic and disabling. These supplements may help manage anxiety symptoms but should COMPLEMENT, not replace, evidence-based treatment. If you're significantly limiting your activities due to fear, seek professional help.

Inositol* works through the serotonin system similar to SSRIs. It has been specifically studied for panic disorder with agoraphobia and can significantly reduce both panic attacks and agoraphobic avoidance. High doses (12-18g) are needed.

Lavender Oil (Silexan)* has proven anxiolytic effects without the sedation or dependence risk of benzodiazepines. It can help reduce general anxiety levels.

Kava* is a Pacific Island herb with GABAergic effects that reduce anxiety. A Cochrane review confirmed its effectiveness for anxiety disorders. Use only noble kava and limit duration due to potential liver effects with long-term use.

Magnesium* has calming effects on the nervous system and is often depleted by chronic stress. Glycinate is preferred for anxiety.

L-Theanine* promotes calm without sedation and can be taken before anxiety-provoking situations. It increases relaxing alpha brain waves.

Passionflower* has GABA-ergic effects that can help with acute anxiety.

Ashwagandha* reduces cortisol and helps with the chronic stress component of anxiety disorders.

Omega-3 Fatty Acids* have anti-inflammatory effects on the brain and may help reduce anxiety.

Vitamin D* deficiency is associated with anxiety disorders. Maintaining adequate levels supports mental health.

Expected timeline: Inositol: 4-8 weeks for full effect. Lavender and kava: 2-4 weeks. L-theanine works acutely. CBT with exposure therapy typically shows improvement over 12-16 sessions. Full recovery from agoraphobia often takes several months of consistent therapy.

Printed from drgrey.ai/protocols/agoraphobia. For education only; not medical advice. Talk to a clinician before starting any supplement.