Mental Health Anxiety Disorders What Is the Fear of Driving? (Amaxophobia) By Aubrey Bailey, PT, DPT, CHT Aubrey Bailey, PT, DPT, CHT Aubrey Bailey, PT, DPT, CHT is a physical therapist with over 20 years of experience in a variety of healthcare settings. Learn about our editorial process Published on December 20, 2021 Medically reviewed Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. These medical reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Steven Gans, MD Medically reviewed by Steven Gans, MD Steven Gans, MD, is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Expert Board Print Table of Contents View All Table of Contents Causes Symptoms Diagnosis Treatment Amaxophobia is a phobia (irrational fear) of driving or being in a car. This condition is also called motorphobia. Driving is a risky activity, and it's normal to have some level of concern when you're in a car. However, severe amaxophobia can cause you to avoid being in a car altogether. This article discusses symptoms of amaxophobia, as well as its causes, diagnosis, and treatment. Alex Walker / Getty Images Causes of Amaxophobia The exact cause of amaxophobia, and most phobias in general, is not known. However, phobias often develop after a traumatic experience. Having been involved in a car accident—or even having heard about someone else's accident—could influence your condition. Phobias are considered a type of anxiety disorder. These conditions can be caused by an imbalance of chemicals, called neurotransmitters, in your brain. Two neurotransmitters in particular that can cause symptoms of anxiety are dopamine and serotonin. The environment you grew up in can also contribute to your phobia. If your parent or guardian had an irrational fear of driving, you might have learned to be afraid of it as well. It is possible to have a phobia of something without experiencing a negative or traumatic event. Some people have phobias with no known trigger or cause. Symptoms Phobias cause similar anxiety symptoms, regardless of the object of your fear. These symptoms can occur while you're driving, or even when you're just thinking about driving. Common symptoms include: Chest painShortness of breathFast heartbeatSweatingDizzinessFaintingFeeling of impending doomChillsHot flashesShakingNausea Diagnosis Mental health conditions, such as phobias, are diagnosed using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). While amaxophobia is not listed in the DSM-5, this condition is similar to a diagnosis of specific phobia. Specific phobia is described as "marked anxiety" about a specific object or situation. DSM-5 criteria for diagnosing specific phobia include: Immediate anxiety when exposed to the feared object or situationFear that is out of proportion to the actual risk associated with the object or situationAvoiding the object or situation, or experiencing significant anxiety when it is encounteredFear that has lasted at least six months How Is Phobia Diagnosed? Treating Amaxophobia Several effective treatments are available for phobias. These can include psychotherapy, self-help techniques, and medications. Psychotherapy Talk therapy with a mental health professional is often the first treatment for amaxophobia. One method that is used to treat phobias is cognitive behavioral therapy (CBT). Amaxophobia is based on irrational thoughts and fears about driving. These thoughts then affect your emotions and behaviors. CBT challenges your irrational thought patterns and teaches you healthy ways of thinking. Your therapist might use exposure therapy as part of your treatment for amaxophobia. This technique involves gradual exposure to your fears while incorporating newly learned coping methods to control your anxiety response. Exposure therapy might begin with talking about driving or looking at pictures of people driving. This treatment could also include virtual reality training to allow you to practice driving in a safe environment. Self-Help Self-help techniques can be effective for reducing symptoms of anxiety. While these techniques are typically practiced while you are experiencing your symptoms, for safety reasons, you should not perform them while driving. Deep breathing: Focusing on your breath can help reduce anxiety symptoms. Perform this technique while sitting in a comfortable position or lying on your back. Deep Breathing Exercise Place one hand on your belly and the other on your chest.Breathe in slowly, filling your belly with air. Try not to let your chest rise.Pucker your lips and slowly let your breath out, as if you are blowing out candles.Repeat for several breaths. Mindfulness: This is a technique in which you focus on being intensely aware of what you are sensing and experiencing in the moment without interpretation or judgment. Sit quietly and focus on your breath for a couple of minutes. Take a walk or spend a little time in nature doing this.Guided imagery: This technique relies on your imagination to picture yourself in an environment that you find relaxing, such as sitting on the beach. How to Reduce Stress: Techniques and More Medications Severe amaxophobia can prevent you from driving or riding in a car. This can significantly impact your daily activities. Medications can be effective in treating severe phobias. Benzodiazepines such as Klonopin (clonazepam), Xanax (alprazolam), Valium (diazepam), and Ativan (lorazepam) are rapidly acting benzodiazepine medications that treat anxiety symptoms while they are occurring. These medications can also be taken right before you ride in a car to help you feel calmer. However, they can cause significant sleepiness and should not be taken if you are driving. They can also be habit forming. Phobias are sometimes treated with antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs). Common SSRIs include Prozac (fluoxetine), Zoloft (sertraline), Lexapro (escitalopram), Celexa (citalopram), and Paxil (paroxetine). Summary Amaxophobia is an irrational fear of driving or riding in a car. People with this condition may also avoid other forms of transportation such as buses, trains, and airplanes. Phobias can cause anxiety symptoms such as chest pain, fast heartbeat, shortness of breath, and dizziness. Treatments include psychotherapy, self-help techniques, and sometimes medications. What Is Fear of Traveling (Hodophobia)? A Word From Verywell Amaxophobia can make it difficult to go just about anywhere, which can have a significant effect on your everyday life. You might feel like you are suffering alone, but more than 12% of people in the United States will experience a phobia in their lifetime. Be proactive and seek help. Talking to your doctor or a therapist about your symptoms is the first step toward improving your life. Choosing the Right Therapist Was this page helpful? Thanks for your feedback! Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit 7 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. PsychCentral. What is driving anxiety? Boston Children's Hospital. Phobias symptoms & causes. Substance Abuse and Mental Health Services Administration. Impact of the DSM-IV to DSM-5 changes on the national survey on drug use and health. National Center for Biotechnology Information. PsychCentral. All about cognitive behavioral therapy (CBT). PsychCentral. What is exposure therapy? Updated May 17, 2016. Anxiety & Depression Association of America. Medication options. National Institute of Mental Health. Specific phobia.