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A word of caution for anyone going up trams or climbing at high altitudes and who suffers from any of the variety of Anxiety Disorders. High-altitude, oxygen deprivation can trigger subconscious fears, migraine attacks .and traumatic flashbacks, even after returning to sea level.
If you suffer from anxiety attacks, check with a physician before attempting high altitude anything. Some people are fine with ant-anxiety medicines. Some will do okay carrying a small bottle of oxygen to sip at. Everybody is different and how we react from event to event can also differ.