Picture this: you’re on your morning commute, squeezed between strangers in a packed train car when suddenly the conductor announces an indefinite delay. The doors won’t open, you’re stuck underground, and that familiar tightness begins to creep into your chest. You’re not alone in this experience – millions of people worldwide struggle with panic attacks triggered by confined spaces on trains, and understanding why this happens is the first step toward managing it. Train anxiety has become increasingly common in our interconnected world where public transportation is essential for daily life. The combination of confinement, crowds, and lack of control creates a perfect storm for panic reactions. What makes this particularly challenging is that trains are often unavoidable – they’re lifelines for commuters, students, and travelers who depend on them to get where they need to go.
The Hidden Epidemic of Claustrophobia

About 12.5% of the population have claustrophobia, with the majority of them being women. This makes it one of the most widespread specific phobias, affecting millions globally. It’s estimated around 10% of the UK population are affected by claustrophobia during their lifetime, while up to 5 percent of Americans may experience claustrophobia. What’s particularly striking is how underreported this condition remains. Symptoms may be severe, but many people do not seek treatment. Think about it – how many times have you witnessed someone quietly struggling on public transport, assuming they’re just having a bad day? The reality is that claustrophobic episodes are happening all around us, often invisible to other passengers.
When Trains Become Torture Chambers

Examples of closed spaces include engine rooms, small or locked rooms, cellars, tunnels, elevators, magnetic resonance imaging machines, subway trains, or crowded places. Trains check almost every box that triggers claustrophobic responses – they’re enclosed, often underground, packed with people, and crucially, you can’t simply walk away when anxiety strikes. Claustrophobic people are not frightened of enclosed spaces per se but of what could happen in the enclosed space. On trains, this translates to fears about being trapped during emergencies, having panic attacks with no escape route, or feeling helpless in a medical situation. The feeling that you’re unable to escape a situation represents a serious loss of personal control, and this is something that stresses out our subconscious brain considerably.
The Physical Hurricane of Train Panic

When panic strikes on a train, your body launches into full crisis mode. Stress hormones and adrenaline flood your system and your brain sends out panic signals to deal with the “danger”. It’s a fight-or-flight response, and everything is made worse because the brain tends to shut down your awareness of anything beyond the cause of alarm. Symptoms of claustrophobia are similar to symptoms of anxiety and a panic attack. You may experience: Sweating or shaking. Tightness in chest or rapid heartbeat. Trouble breathing or breathing fast. Chills or flushing (red, hot face). Choking feeling. Upset stomach or feeling “butterflies” in your stomach. Dizziness, feeling faint or lightheaded. Imagine experiencing all of this while trapped in a subway tunnel – no wonder train anxiety feels so overwhelming.
Your Brain on Train Anxiety

The neuroscience behind train panic is fascinating yet terrifying. The onset of claustrophobia has been attributed to many factors, including a reduction in the size of the amygdala, classical conditioning, or a genetic predisposition to fear small spaces. Your amygdala, the brain’s alarm system, becomes hyperactive in confined spaces like trains. The panic center in the brain goes off even though there is nothing to be panicked about. The person gets shaky, dizzy, and can feel like they might die, go crazy, or lose control. This explains why logical thinking – reminding yourself that trains are statistically safe – often fails during panic episodes. Your rational brain simply gets overwhelmed by the emotional response.
The Underground Trigger Zone

Subway systems present unique challenges for claustrophobic individuals. In a study involving claustrophobia and MRI, it was reported that 13% of patients experienced a panic attack during the procedure. While this statistic relates to medical procedures, the parallels to underground train travel are striking – both involve being enclosed in narrow spaces with limited escape options. The train has slowed to a stop inside the tunnel, I feel trapped, and I’m on the verge of a full-blown panic attack. A few seconds later – they feel like hours – and the train is moving again. My panic subsides as we enter the next station and the potential for escape beckons. This personal account captures the essence of underground train anxiety perfectly – it’s the uncertainty and lack of control that amplifies fear.
The Crowd Factor

Rush hour transforms ordinary train cars into anxiety battlegrounds. I suffer from claustrophobia and find watching people getting on makes me panic as the train gets more crowded so I do a walk when that is happening and also tell myself. It’s ok, if it’s so horrid I can always get off and I’m in control. Go to places in the train that have space, like the canteen, or door areas or disabled spaces. Think of a crowded bus on the morning commute. You are not able to get off the bus until it is at the next stop, and you are tightly packed in with a hundred other commuters. If you have claustrophobia, you may find yourself panicking in this situation, or even avoiding it altogether. The combination of physical proximity to strangers and inability to leave creates a perfect storm for panic responses.
The 5-4-3-2-1 Grounding Technique

When panic strikes on a train, your first line of defense is sensory grounding. A simple yet powerful tool is the 5, 4, 3, 2, 1 exercise, which harnesses your senses to ground you in the present. All you have to do is name five things you can see, four you can touch, three you can hear, two you can smell, and one you can taste. This technique works because grounding interrupts that surge by shifting attention to concrete sensations – what you can see, touch, smell, taste, or hear. Doing so activates the parasympathetic nervous system, which slows your heart and steadies breathing. On a train, you might notice five different colored seats, four textures like the metal handrail or fabric upholstery, three sounds like the engine humming or passenger conversations, two scents like coffee or someone’s cologne, and one taste like mint gum.
Breathing Your Way to Calm

Box breathing is a technique that has much evidence to support its use in reducing the frequency and intensity of panic attacks. Start by sitting upright in a chair with your feet flat on the floor. Imagine a square or box and, as you breathe, trace the sides of the square in your mind. Slowly inhale through the nose to the count of four as you trace the top of the square. Box breathing is a grounding technique that involves a controlled breathing pattern: inhale for a count of four, hold for four, exhale for four, and hold for four, forming a “box” shape. This regulates the autonomic nervous system, reducing the body’s stress response and helping to alleviate panic symptoms. Practicing box breathing provides a sense of calm and control, making it an effective tool for managing anxiety and panic attacks. The beauty of this technique is its discreteness – you can practice it anywhere on a train without drawing attention.
Physical Grounding on Moving Trains

Your body needs anchoring during panic episodes, and trains actually provide several grounding opportunities. Whether you’re sitting or standing, press your feet down firmly and feel the ground beneath you for an immediate connection to the present moment and the space you’re in. You can further the grounding effect by placing your feet on cool grass or the warm earth. On trains, try noticing your feet on the floor. You can even stand up and plant your feet firmly, taking off your shoes and pressing each toe into the ground or floor, feeling the sensation of being connected to the floor, the foundation of the building, the dirt underneath it. Feel the train’s rhythm through your feet, use handrails to ground your hands, or press your back firmly against your seat to establish physical connection with your environment.
The Power of Strategic Positioning

Where you sit or stand on a train can significantly impact your anxiety levels. Go to places in the train that have space, like the canteen, or door areas or disabled spaces. Don’t worry what people think it’s just you getting some space. Door areas provide psychological comfort because they represent potential escape routes, even when the train is moving. If you are scared of taking a train, try travelling for just a few stops at a quiet time of the day when it’s likely to be less crowded. Many people find it easier to travel in enclosed spaces when there are fewer passengers onboard, as it is less crowded, and they are less nervous about who is watching them. As you continue to practice this journey, the anxiety will decrease as your brain learns that what you are scared of (panicking and needing to escape) doesn’t happen.
Scent as Your Secret Weapon

The part of the brain connected to our sense of smell is the one closest to the part of the brain responsible for memory. That means smelling something familiar is a shortcut to retrieving happy memories, while being an easy way to use your senses to ground your body. It could be a favorite perfume, an essential oil, a herb or spice, cosmetics or toiletries, or a scented candle. The key thing is it’s accessible, immediate, and has positive associations for you. The scent of your favorite perfume, freshly baked cookies, or even the earthy scent after rain can be grounding. If you’re prone to anxiety attacks or panic attacks it can help to have some essential oils or even a sachet of dried lavender on hand to help ground you via your sense of smell. Keep a small vial of essential oil in your pocket or bag for immediate access during train journeys.
Movement Within Confinement

Even in confined train spaces, strategic movement can help manage panic. I also find walking up and down the train helps me. I also find walking up and down the train helps me. Moving your body (exercise for anxiety) is a grounding technique involving engaging in physical activity, like taking a brisk walk, hiking, or jumping jacks. This method helps disperse the physiological tension and restlessness often associated with panic attacks, promoting relaxation and calm. Redirecting focus toward the physical sensations of movement can mitigate the intensity of panic symptoms. On trains, try subtle movements: flex your toes in your shoes, do shoulder rolls, or gently stretch your neck. If the train allows, walk to different cars or simply stand and stretch when possible.
Cold Therapy for Hot Panic

Just like an intense flavor can ground you, the sudden cold of ice can jolt you out of anxiety and back to the present. Try holding an ice cube over the sink and deep breathing as you feel the temperature in your hand. While you won’t have ice cubes on trains, you can achieve similar effects with cold water bottles, touching metal handrails (which are often cool), or placing a cold phone against your wrist. Focus on the water’s temperature and how it feels on your fingertips, palms, and the backs of your hands. Use warm water first, then cold. Next, try cold water first, then warm. Does it feel different to switch from cold to warm water versus warm to cold? Even splashing cold water on your face in train bathrooms can provide powerful grounding relief.
Building Your Panic Attack Action Plan

The symptoms of a panic attack usually peak within 10 minutes, with most attacks lasting between 5 and 30 minutes. Knowing this timeframe can be reassuring during episodes. No matter how terrible and endless it feels at the time, maybe you can take some comfort in knowing that the human body cannot sustain a panic attack forever, as it will run too low on adrenaline. The fight-or-flight response is designed to be a short-term reaction, which is why most panic attacks only last between 10 and 30 minutes. Create a personalized train anxiety toolkit: keep grounding items easily accessible, practice breathing techniques during calm moments, identify friendly train staff if needed, and develop mantras like “It’s ok, if it’s so horrid I can always get off and I’m in control”. Remember, if possible, stay where you are during a panic attack. It could last up to an hour, so if you’re driving, you may need to pull over and park where it’s safe to do so. Do not rush to a place of safety. During the attack, remind yourself that the frightening thoughts and sensations are a sign of panic and will eventually pass. The next time you feel that familiar tightness beginning on a crowded train, remember that you’re equipped with powerful tools to navigate through it. Your panic is real, your feelings are valid, but you’re not powerless against them. With practice, what once felt like imprisonment can transform into simply another part of your journey. What techniques will you try on your next train ride?