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Panic Disorder Diagnosis
Aka: Panic Disorder Diagnosis, Panic Symptoms
- See also
- Panic Disorder
- Panic Disorder Diagnosis
- Panic Disorder Management
- Agoraphobia
- Anxiety Disorder
- Anxiety Secondary Cause
- Anxiety Symptoms
- Generalized Anxiety Disorder
- Obsessive Compulsive Disorder
- Body Dysmorphic Disorder
- Social Anxiety Disorder (Social Phobia)
- Acute Stress Disorder
- Post-Traumatic Stress Disorder
- Excessive Worry
- Anxiety Non-pharmacologic Management
- Anxiety Pharmacologic Management
- Diagnosis
- Recurrent unexpected Panic Attacks
- Discrete episode of intense fear or discomfort with a strong sympathetic response
- Symptoms peak within minutes (e.g. 10 minutes)
- Four or more symptoms (see below)
- 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 or substance adverse effects
- See Anxiety Secondary Causes
- No other dominant or more specific psychiatric condition to explain the symptoms
- Social Anxiety Disorder
- Specific phobias
- Obsessive Compulsive Disorder
- Posttraumatic Stress Disorder
- Separation Anxiety Disorder
- Identify whether avoidance behaviors are present
- Panic Disorder with Agoraphobia
- Panic Disorder without Agoraphobia
- Symptoms: Criteria for Panic Disorder (4 or more required for diagnosis)
- Generalized
- Diaphoresis
- Chills or Hot Flushes
- Respiratory
- Shortness of Breath
- Sensation of Choking or smothering
- Cardiovascular
- Chest Pain
- 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)
- References
- APA (2013) DSM V, APA, p. 208-9
- Starr (November, 1998) Patient Care
- 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]