II. Diagnosis

  1. Recurrent unexpected Panic Attacks
    1. Discrete episode of intense fear or discomfort with a strong sympathetic response
    2. Symptoms peak within minutes (e.g. 10 minutes)
    3. Four or more symptoms (see below)
  2. Consequences of attacks (either or both for at least 1 month)
    1. Persistent worry about future attacks or consequences
    2. Maladaptive behavior changes (e.g. avoiding unfamiliar situations)
  3. No identified alternative medical causes or substance adverse effects
    1. See Anxiety Secondary Causes
  4. No other dominant or more specific psychiatric condition to explain the symptoms
    1. Social Anxiety Disorder
    2. Specific phobias
    3. Obsessive Compulsive Disorder
    4. Posttraumatic Stress Disorder
    5. Separation Anxiety Disorder
  5. Identify whether avoidance behaviors are present
    1. Panic Disorder with Agoraphobia
    2. Panic Disorder without Agoraphobia

III. Symptoms: Criteria for Panic Disorder (4 or more required for diagnosis)

  1. Generalized
    1. Diaphoresis
    2. Chills or Hot Flushes
  2. Respiratory
    1. Shortness of Breath
    2. Sensation of Choking or smothering
  3. Cardiovascular
    1. Chest Pain
    2. Palpitations, heart pounding or Tachycardia
  4. Gastrointestinal
    1. Nausea or Abdominal distress
  5. Neurologic
    1. Dizzy, light-headed, unsteady or faint feeling
    2. Paresthesias
    3. Trembling or shaking
  6. Psychologic
    1. Sensation of foreboding: dying or heart attack
    2. Fear or losing control or going crazy
    3. Feelings of unreality (derealization) or being detached from oneself (depersonalization)

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Ontology: Panic (C0030318)

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, パニックハンノウ
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