Panic disorder

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Panic disorder is a type of anxiety disorder characterized by sudden and recurrent bouts of intense fear, known as panic attacks, that can be seemingly triggered without an identifiable cause.

Panic attack

Overview[edit | edit source]

Individuals with panic disorder experience abrupt surges of intense fear or discomfort that peak within minutes. These episodes, referred to as panic attacks, can happen at any time, often without a clear trigger, leading to worry about their recurrence.

Symptoms[edit | edit source]

  • Symptoms of a panic attack typically involve intense fear and at least four or more of the following:
  • Palpitations, pounding heart, or accelerated heart rate
  • Sweating
  • Trembling or shaking
  • Sensations of shortness of breath or smothering
  • Feelings of choking
  • Chest pain or discomfort
  • Nausea or abdominal distress
  • Feeling dizzy, unsteady, lightheaded, or faint
  • Fear of losing control or going insane
  • Fear of dying
  • Numbness or tingling sensations (paresthesia)
  • Chills or hot flashes

Causes and Risk Factors[edit | edit source]

The exact cause of panic disorder is unclear, but it's believed to be a combination of genetic, environmental, and psychological factors. Risk factors may include a family history of anxiety disorders, major life stressors, certain changes in brain function, and temperament.

Diagnosis[edit | edit source]

Diagnosis involves a comprehensive assessment that includes a medical examination, personal and family medical history, and psychological evaluation. The DSM-5 criteria are often used to diagnose panic disorder.

Treatment[edit | edit source]

Treatment typically involves a combination of psychotherapy (particularly cognitive-behavioral therapy (CBT)) and medication. Medications such as SSRIs, benzodiazepines, and SNRIs may be used.

Prognosis[edit | edit source]

With proper treatment, most people with panic disorder can lead fulfilling lives. However, panic disorder is a chronic condition that may ebb and flow over time.

References[edit | edit source]

Panic disorder Resources
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Contributors: Prab R. Tumpati, MD