Mental Health Book

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Panic Disorder Diagnosis

Aka: Panic Disorder Diagnosis, Panic Symptoms
  1. Diagnostic Criteria for Panic Disorder
    1. Recurrent unexpected Panic Attacks
      1. Discrete episode of intense sympathetic symptoms
      2. Symptoms peak within 10 minutes
      3. Four or more symptoms from those listed below
    2. Persistent worry about future attacks or consequences
    3. No identified Anxiety Secondary Cause
    4. Identify whether avoidance behaviors are present
      1. Panic Disorder with Agoraphobia
      2. Panic Disorder without Agoraphobia
  2. Symptoms: Psychologic
    1. Sensation of foreboding: dying or heart attack
    2. Fear or losing control or going crazy
    3. Feelings of unreality or being detached from oneself
  3. Symptoms: Neurologic
    1. Dizzy, light-headed, unsteady or faint feeling
    2. Paresthesias
    3. Trembling or shaking
  4. Symptoms: Cardiopulmonary and Autonomic
    1. Chest Pain
    2. Palpitations, heart pounding or Tachycardia
    3. Diaphoresis
    4. Shortness of Breath
    5. Sensation of Choking or smothering
    6. Chills or Hot Flushes
  5. Symptoms: Gastrointestinal
    1. Nausea or Abdominal distress
  6. 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

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