Anxiety

Panic Disorder

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Panic Disorder, Panic Attack

  • See Also
  1. Panic Disorder Diagnosis
  2. Panic Disorder Management
  3. Agoraphobia
  4. Anxiety Disorder
  5. Anxiety Secondary Cause
  6. Anxiety Symptoms
  7. Generalized Anxiety Disorder
  8. Obsessive Compulsive Disorder
  9. Body Dysmorphic Disorder
  10. Social Anxiety Disorder (Social Phobia)
  11. Acute Stress Disorder
  12. Post-Traumatic Stress Disorder
  13. Excessive Worry
  14. Anxiety Non-pharmacologic Management
  15. Anxiety Pharmacologic Management
  • Epidemiology
  1. Lifetime Prevalence: 7.0% in women, 3.3% in men
  2. Age of onset: 20 to 25 years old
  3. Women affected more often than men
  • 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
  • Symptoms and Signs
  1. See Panic Symptoms
  2. Recurrent, unexpected Panic Attacks
  • Diagnosis
  1. See Panic Disorder Diagnosis
  2. Severity Measure for Panic Disorder - Adult
    1. http://www.psychiatry.org/File%20Library/Practice/DSM/DSM-5/SeverityMeasureForPanicDisorderAdult.pdf
  3. 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
  • Associated Conditions
  1. Headache
  2. Diarrhea
  3. Insomnia
  4. Hand coldness
  5. Chronic Fatigue
  6. Suicidal Ideation
  7. Alcohol Abuse or Drug Abuse
  • Differential Diagnosis
  1. See Anxiety Secondary Causes
  2. Other psychiatric conditions
    1. Social Anxiety Disorder
    2. Specific phobias
    3. Obsessive Compulsive Disorder
    4. Posttraumatic Stress Disorder
    5. Separation Anxiety Disorder
  • Comorbid conditions
  1. Major Depression
  2. Chemical Dependency
  3. Interpersonal conflict
  • Management
  1. See Panic Management
  • Prognosis
  1. Recurs in 30-90% of patients within 1 year
  • References
  1. APA (1994) DSM IV, APA, p. 395
  2. Starr (November, 1998) Patient Care
  3. Katerndahl (1997) Postgrad Med, 101(1): 147-66 [PubMed]
  4. Katerndahl (1996) J Fam Pract, 43(3): 275-82 [PubMed]
  5. Locke (2015) Am Fam Physician 91(9): 617-24 [PubMed]
  6. Rubin (1996) Phys Sportsmed, 24(12):54-65 [PubMed]
  7. Saeed (1998) Am Fam Physician, 57(10):2405-12 [PubMed]
  8. Weinstein (1995) Am Fam Physician, 52(7):2055-63 [PubMed]