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Panic Disorder

Aka: Panic Disorder, Panic Attack
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  1. See Also
    1. Panic Disorder Diagnosis
    2. Panic Disorder Management
    3. Agoraphobia
  2. Epidemiology
    1. Lifetime Prevalence: 1 to 3%
    2. Age of onset: 20 to 25 years old
    3. Women affected more often than men
  3. Types
    1. Avoidance behaviors
      1. Panic Disorder with Agoraphobia
      2. Panic Disorder without Agoraphobia
    2. Trigger
      1. Spontaneous Panic Attack
        1. Unidentifiable trigger
      2. Situational Panic Attack
        1. Social Phobia
        2. Fear of flying
        3. Stage fright
        4. Fear of animals, insects or snakes
  4. Diagnosis
    1. See Panic Disorder Diagnosis
    2. Question: "In the last 4 weeks, have you had an anxiety attack (sudden feeling of panic)?"
      1. Positive Likelihood Ratio: 4.2
      2. Negative Likelihood Ratio: 0.09
  5. Symptoms and Signs
    1. See Panic Symptoms
  6. Associated Conditions
    1. Headache
    2. Diarrhea
    3. Insomnia
    4. Hand coldness
    5. Chronic Fatigue
    6. Suicidal Ideation
    7. Alcohol Abuse or Drug Abuse
  7. Differential Diagnosis
    1. See Anxiety Secondary Causes
  8. Comorbid conditions
    1. Major Depression
    2. Interpersonal conflict
  9. Management
    1. See Panic Management
  10. Prognosis
    1. Recurs in 30-90% of patients within 1 year
  11. References
    1. APA (1994) DSM IV, APA, p. 395
    2. Starr (November, 1998) Patient Care
    3. Katerndahl (1997) Postgrad Med, 101(1): 147-66
    4. Katerndahl (1996) J Fam Pract, 43(3): 275-82
    5. Rubin (1996) Phys Sportsmed, 24(12):54-65
    6. Saeed (1998) Am Fam Physician, 57(10):2405-12
    7. Weinstein (1995) Am Fam Physician, 52(7):2055-63

Panic Attacks (C0086769)

Definition (NCI) An episode of intense fear accompanied by symptoms such as heart palpitations, sweating and chills or hot flushes , a sensation of dyspnea, chest pain, abdominal distress, depersonalization, fear of going crazy, and fear of dying.
Definition (PSY) An episode of intense fear and anxiety that may be accompanied by one or more of the following symptoms: heart palpitations, sweating, shortness of breath, chest pain, nausea, dizziness, and trembling. Generally, attacks are unexpected and last no longer than 15 minutes.
Concepts Mental or Behavioral Dysfunction (T048)
MSH D016584
ICD10 F41.0
SnomedCT 225624000, 154882009, 191705007, 268752000
English Attacks, Panic, Attack, Panic, PANIC ATTACKS, panic attack, Panic attacks, PANIC ATTACK, Attack(s);panic, Panic Attack, Panic attack, Panic attack (finding), attack; panic, panic; attack, Panic Attacks, panic attacks
Italian Attacco di panico, Attacchi di panico
Dutch paniekaanvallen, aanval; paniek, paniek; aanval, paniekaanval, Paniekaanvallen
French Crises de panique, Attaques de panique, Attaque de panique
German Panikanfaelle, Panik-Attacken, Panikattacke
Portuguese Ataques de pânico, Ataques de Pânico, Ataque de pânico
Japanese パニック発作, ﾊﾟﾆｯｸﾎｯｻ
Czech záchvaty paniky, Panická ataka, Panické ataky
Spanish Panic attack, Ataques de Panico, Ataques de Pánico, ataque de pánico (hallazgo), ataque de pánico, crisis de angustia, crisis de pánico, Crisis de angustia
Hungarian Pánik roham, Pánik rohamok
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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