II. Diagnosis (DSM 5, 300.01, F41.0)
- See Patient Health Questionnaire for Panic Disorder (PHQ-PD)
- Recurrent unexpected Panic Attacks
- Consequences of attacks (either or both for at least 1 month)
- Persistent worry about future attacks or consequences
- Maladaptive behavior changes (e.g. avoiding unfamiliar situations)
- No identified alternative medical causes (e.g. Hyperthyroidism) or substance adverse effects
- No other dominant or more specific psychiatric condition to explain the symptoms
- Identify whether avoidance behaviors are present
- Panic Disorder with Agoraphobia
- Panic Disorder without Agoraphobia
III. Symptoms: Criteria for Panic Disorder (4 or more required for diagnosis)
-
Generalized
- Diaphoresis
- Chills or Hot Flushes
- Respiratory
- Shortness of Breath or smothering
- Sensation of Choking
- Cardiovascular
- Chest Pain or discomfort
- Palpitations, heart pounding or Tachycardia
- Gastrointestinal
- Nausea or Abdominal distress
- Neurologic
- Dizzy, light-headed, unsteady or faint feeling
- Paresthesias
- Trembling or shaking
- Psychologic
- Sensation of foreboding: dying or heart attack
- Fear or losing control or going crazy
- Feelings of unreality (derealization) or being detached from oneself (depersonalization)
IV. References
- APA (2014) DSM 5, APA, p. 208-9
- Starr (November, 1998) Patient Care
- DeGeorge (2022) Am Fam Physician 106(2): 157-64 [PubMed]
- Katerndahl (1997) Postgrad Med, 101(1): 147-66 [PubMed]
- Katerndahl (1996) J Fam Pract, 43(3): 275-82 [PubMed]
- Rubin (1996) Phys Sportsmed, 24(12):54-65 [PubMed]
- Saeed (1998) Am Fam Physician, 57(10):2405-12 [PubMed]
- Weinstein (1995) Am Fam Physician, 52(7):2055-63 [PubMed]
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| Definition (NCI_NCI-GLOSS) | Sudden extreme anxiety or fear that may cause irrational thoughts or actions. Panic may include rapid heart rate, flushing (a hot, red face), sweating, and trouble breathing. |
| Definition (MSH) | A state of extreme acute, intense anxiety and unreasoning fear accompanied by disorganization of personality function. |
| Concepts | Finding (T033) |
| MSH | D010200 |
| ICD10 | F41.0 |
| SnomedCT | 79823003, 268627007, 286544004 |
| English | Panics, PANIC REACTION, panic state, Panic, Reaction panic, panicky, panics, panic, panic reaction, Panic state, Panic reaction, Panic (finding), panic; state, state; panic, Panic [Ambiguous] |
| French | PANIQUE, Réaction de panique, Panique |
| Portuguese | PANICO, Reacção de pânico, Pânico |
| Italian | Reazione di panico, Reazione da panico, Panico |
| Dutch | reactie panisch, paniek; toestand, toestand; paniek, paniekreactie, Paniek |
| Japanese | パニック反応, ﾊﾟﾆｯｸﾊﾝﾉｳ |
| Swedish | Panik |
| Czech | panika, Reakce panická, Panická reakce |
| Finnish | Paniikki |
| Russian | PANIKA, PANICHESKOE SOSTOIANIE, ПАНИКА, ПАНИЧЕСКОЕ СОСТОЯНИЕ |
| Spanish | PANICO, REACCION, estado de pánico, pánico (hallazgo), pánico, reacción de pánico, Reacción de pánico, Pánico |
| German | PANIKREAKTION, Panikreaktion, Panik |
| Croatian | PANIKA |
| Polish | Panika |
| Hungarian | Pánikreakció, Pánik reakció |
| Norwegian | Panikk |
