MRI and Claustrophobia — Preparation, Coping Strategies, and Modern Solutions

Why MRI claustrophobia is common

Magnetic resonance imaging (MRI) involves lying still inside a scanner for a period of time. For some people, the enclosed space, loud rhythmic noises, and unfamiliar environment trigger claustrophobia — a fear of confined spaces. Claustrophobia affects an estimated 7–12% of the population, and MRI scans are one of the most common situations where this fear becomes noticeable.

Symptoms can include a racing heart, sweating, shortness of breath, nausea, or panic. These reactions are not a sign of weakness. They reflect how the brain responds to perceived loss of control or confinement, even when no physical danger is present.

Why planning ahead makes a difference

The most important step in managing MRI-related anxiety is discussing it before the scan. Your GP, radiographer, and imaging clinic can tailor the approach to suit your level of anxiety. Many people complete scans successfully once the right supports are in place, without needing to cancel or avoid important imaging.

Before your scan: preparation strategies

Preparation often reduces anxiety more effectively than coping alone on the day.

Talking with your GP helps clarify whether options such as a mild sedative are appropriate for you. In some cases, the scan position may allow your head to remain closer to the opening of the scanner, depending on what area is being imaged.

Choosing the right imaging facility also matters. Many centres now offer wide-bore MRI machines, which have noticeably more space than older models. Some locations provide open or upright MRI scanners, which reduce the sense of enclosure for selected scans.

Learning simple relaxation techniques ahead of time — such as slow deep breathing, square breathing, or guided visualisation — gives you tools to use during the scan. Familiarising yourself with the process by watching videos or asking the clinic to explain what the scanner looks and sounds like can also reduce fear of the unknown.

During your scan: coping strategies

Radiographers are experienced in supporting anxious patients. Letting them know how you feel allows them to check in regularly, provide reassurance, and explain progress during the scan.

Many clinics provide headphones so you can listen to music, podcasts, or audiobooks, which reduces both noise and focus on the environment. Some people find it helpful to close their eyes before entering the scanner and keep them closed throughout, or to use an eye mask to block visual cues.

Focusing attention on breathing, a calming image, or a familiar place can help settle the body’s stress response. You will always be given a call button or squeeze ball that immediately alerts staff if you need to pause or stop. Knowing you can communicate at any time often reduces anxiety significantly.

Physical comfort also matters. Blankets, cushions, airflow, or fans can make the experience more tolerable and reduce restlessness.

How modern MRI technology helps

MRI technology has advanced considerably. Newer scanners typically have wider openings, better lighting, improved ventilation, and shorter scan times. Motion-correction technology means scans are often completed faster than in the past, reducing the time spent inside the machine.

Some centres offer mirrors or prism glasses that allow you to see out of the scanner while lying down, which can lessen the feeling of confinement.

Medical options for more severe anxiety

For people with moderate to severe claustrophobia, medical support may be appropriate. A GP can prescribe a mild oral sedative to be taken shortly before the scan, provided this is safe for you. This often allows the scan to proceed comfortably.

In rare cases where anxiety remains overwhelming or the person cannot remain still, imaging under deeper sedation or general anaesthesia may be arranged, usually in a hospital setting. These options are considered carefully and are reserved for specific situations.

A balanced and reassuring message

MRI claustrophobia is common, recognised, and manageable. Modern scanners, supportive radiography teams, preparation strategies, and medical options mean most people can complete their scan successfully. A calm conversation with your GP before booking the scan helps identify the right approach for you and reduces unnecessary stress.

This article provides general health information only and does not replace medical advice. Please speak with your GP for personalised care.