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Diagnostic criteria for panic attack and panic disorder

Diagnostic criteria for panic attack and panic disorder
Panic attack (summary of DSM-IV criteria)
A discrete period of intense fear or discomfort, in which four (or more) of the following symptoms develop abruptly and reach a peak within ten minutes:
Cardiopulmonary symptoms
Chest pain or discomfort
Sensations of shortness of breath or smothering
Palpitations, pounding heart, or accelerated heart rate
Neurological symptoms
Trembling or shaking
Parasthesias (numbness or tingling sensation)
Feeling dizzy, unsteady, light-headed or faint
Psychiatric symptoms
Derealization (feelings of unreality) or depersonalization (being detached from oneself)
Fear of losing control or going crazy
Fear of dying
Autonomic symptoms
Sweating
Chills or hot flushes
Gastrointestinal symptoms
Feeling of choking
Nausea or abdominal distress
Panic disorder (summary of DSM-IV criteria)
With agoraphobia
A. Recurrent, unexpected panic attacks.
B. At least one of the attacks has been followed by a month or more of: persistent concern about having additional attacks; worry about the implications of the attack or its consequences; a significant change in behavior related to the attacks.
C. The presence of agoraphobia, ie, anxiety about being in places or situations in which escape might be difficult (or embarrassing) or in which help might not be available in the event of having a panic attack.
Without agoraphobia
A. Both A and B above
B. Absence of agoraphobia
Dx_criteria_panic_disorder.htm
Adapted from Diagnostic and Statistical Manual of Mental Disorders, 4th Ed, Primary Care Version (DSM-IV-PC). American Psychiatric Association, Washington, DC 1995.
Graphic 73966 Version 2.0

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