Fear of Flying

The fear of flying, or aerophobia, is when you experience an intense fear of being on an aeroplane. It affects around one in ten people.

Why might someone develop a fear of flying?

There are many reasons for developing flight anxiety. For example:

Anxious parents

Fear of flying could stem from having an anxious parent, whom someone has seen have panic attacks during flights.

Traumatic incidents

Flying can be a nerve-racking experience if someone has been involved in a traumatic incident, whether this is bad turbulence or a crash.

A lack of control

Yuko Nippoda, psychotherapist and spokesperson for the UK Council for Psychotherapy (UKCP), explains how a fear of flying often stems from a lack of control.

"If you are on a train and you need to get off, you can do so at the next stop. If you're in a car, you can get out almost anywhere. But once you get on an aeroplane, you cannot leave. This sense of losing all authority over your actions can be very frightening," he says.

Imagination overdrive

Nippoda adds that people are used to feeling their feet on solid ground. Therefore, the idea of floating in the sky can lead to imagining worst-case scenarios.

"If catastrophic situations, such as engine failure, bad turbulence or a hijacking occur, the plane could crash. This fear of death can cause major flight anxiety, even if someone knows deep down those things are extremely unlikely. Their mind can go into overdrive."

How does a fear of flying present itself?

If you have a fear of flying, this can present itself in a number of ways. Some people have panic attacks just thinking about their flight, before they board. On the flight, a person could start:

  • Shaking.

  • Feeling dizzy or sick.

  • Sweating.

  • Having a quick heartbeat (palpitations).

  • Feeling short of breath.

  • Having a panic attack.

What triggers flight anxiety?

Since everyone's fear of flying will likely develop from different situations, there are countless triggers. Some common ones include:

  • Watching flight-related accidents - in documentaries or fictional films.

  • Long-haul flights - Nippoda adds that longer flights can be more of a trigger. Passengers know they aren't going to be sitting on the plane for as long during a short journey, whereas a long-haul flight allows more time for disastrous thinking.

  • Having acrophobia or claustrophobia - a fear of heights or confined spaces.

Help with fear of flying

  • If you know somebody who has flown recently, you could ask about their experience. If you wish to speak to professionals who treat fear of flying, UKCP has a list of practitioners who offer support.

    There are courses you can take to help you overcome your fear of flying and flight anxiety. They are offered by various airlines such as:

    You can find support for flight anxiety by visiting:

For further information on how to overcome a fear of flying, see:

Diazepam and other sedatives

Many practices in the UK do not prescribe sedatives for fear of flying. This is the case for our practice. No one at the practice will prescribe Diazepam (Valium) or other sedatives for you to take on a flight.

If you still wish to take a sedative for fear of flying, you will need to consult with a private GP or travel clinic.

Why we don’t prescribe sedatives

  • Safety in an emergency. Diazepam is a sedative, which means it makes you more sleepy. If there is an emergency during the flight, it may affect your ability to follow instructions. This could put the safety of you and those around you at serious risk.

  • Risk of clots. Sedative drugs make you fall asleep. But this sleep is not a natural sleep, so you won’t move around as you would with natural sleep. This can put you at increased risk of developing blood clots in the leg (DVT) or lungs (PE). Blood clots are very dangerous and, in some cases, can be fatal.

  • Side effects

    • Low oxygen levels. Sedative medications can affect your breathing and cause low oxygen levels. There is already less circulating oxygen on an aeroplane. Reduced oxygen combined with sedative medications can be very dangerous.

    • Agitation. Most people find taking Diazepam makes them sleepy. A small number of people become agitated and aggressive instead. This can put both you and other passengers on the plane at risk, and can get you into trouble with the law.

  • Medical guidelines. The prescribing guidelines (BNF) state that Diazepam should not be prescribed for phobias. If your doctor does not follow these guidelines they are taking a significant legal risk.

  • Illegal in some countries. Diazepam and similar drugs are illegal in some countries. As a result they may get confiscated, or the local police may be involved.

Page last reviewed: 21 August 2025
Page created: 21 August 2025