Panic disorder

Alternative names:

panic attack

Symptoms:

At least 4 occurrences in a 1-month period with 4 or more of the following symptoms; or 1 or more attacks followed by at least 1 month of persistent fear of having another attack:

• shortness of breath
• dizziness or faintness
• palpitations
• trembling
• sweating
• choking
• nausea
• numbness or tingling
• chest pain or discomfort
• fear of dying
• fear of being out of control
• sleep disturbances
• skin, clammy
• skin blushing or flushing
• heartburn
• facial paralysis
• agitation

Signs and tests:

A physical examination and a psychological evaluation are performed. Underlying medical disorders are ruled out. Cardiovascular, endocrine, respiratory, neurologic, and substance abuse disorders may be suspected and can coexist with panic disorders. Diagnostic tests will vary with symptoms.