Panic disorder symptoms

Panic Disorder Without Agoraphobia

The essential feature of Panic Disorder is the presence of recurrent, unexpected Panic Attacks (see p. 430) followed by at least 1 month of persistent concern about having another Panic Attack, worry about the possible implications or consequences of the Panic Attacks, or a significant behavioral change related to the attacks (Criterion A). The Panic Attacks are not due to the direct physiological effects of a substance (e.g., Caffeine Intoxication) or a general medical condition (e.g., hyperthyroidism) (Criterion C). Finally, the Panic Attacks are not better accounted for by another mental disorder (e.g., Specific or Social Phobia, Obsessive-Compulsive Disorder, Posttraumatic Stress Disorder, or Separation Anxiety Disorder) (Criterion D). Depending on whether criteria are also met for Agoraphobia (see p. 433), 300.21 Panic Disorder With Agoraphobia or 300.01 Panic Disorder Without Agoraphobia is diagnosed (Criterion B).

Diagnostic criteria for Panic Disorder Without Agoraphobia

1. Both (1) and (2):
   1. recurrent unexpected Panic Attacks (see p. 432)
   2. at least one of the attacks has been followed by 1 month (or more) of one (or more) of the following:
      1. persistent concern about having additional attacks
      2. worry about the implications of the attack or its consequences (e.g., losing control, having a heart attack, "going crazy")
      3. a significant change in behavior related to the attacks
2. Absence of Agoraphobia (see p. 433).
3. The Panic Attacks are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hyperthyroidism).
4. The Panic Attacks are not better accounted for by another mental disorder, such as Social Phobia (e.g., occurring on exposure to feared social situations), Specific Phobia (e.g., on exposure to a specific phobic situation), Obsessive-Compulsive Disorder (e.g., on exposure to dirt in someone with an obsession about contamination), Posttraumatic Stress Disorder (e.g., in response to stimuli associated with a severe stressor), or Separation Anxiety Disorder (e.g., in response to being away from home or close relatives).

Panic Disorder With Agoraphobia

The essential feature of Panic Disorder is the presence of recurrent, unexpected Panic Attacks (see p. 430) followed by at least 1 month of persistent concern about having another Panic Attack, worry about the possible implications or consequences of the Panic Attacks, or a significant behavioral change related to the attacks (Criterion A). The Panic Attacks are not due to the direct physiological effects of a substance (e.g., Caffeine Intoxication) or a general medical condition (e.g., hyperthyroidism) (Criterion C). Finally, the Panic Attacks are not better accounted for by another mental disorder (e.g., Specific or Social Phobia, Obsessive-Compulsive Disorder, Posttraumatic Stress Disorder, or Separation Anxiety Disorder) (Criterion D). Depending on whether criteria are also met for Agoraphobia (see p. 433), 300.21 Panic Disorder With Agoraphobia or 300.01 Panic Disorder Without Agoraphobia is diagnosed (Criterion B).

Diagnostic criteria for Panic Disorder With Agoraphobia

1. Both (1) and (2):
   1. recurrent unexpected Panic Attacks (see p. 432)
   2. at least one of the attacks has been followed by 1 month (or more) of one (or more) of the following:
      1. persistent concern about having additional attacks
      2. worry about the implications of the attack or its consequences (e.g., losing control, having a heart attack, "going crazy")
      3. a significant change in behavior related to the attacks
2. The presence of Agoraphobia (see p. 433).
3. The Panic Attacks are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hyperthyroidism).
4. The Panic Attacks are not better accounted for by another mental disorder, such as Social Phobia (e.g., occurring on exposure to feared social situations), Specific Phobia (e.g., on exposure to a specific phobic situation), Obsessive-Compulsive Disorder (e.g., on exposure to dirt in someone with an obsession about contamination), Posttraumatic Stress Disorder (e.g., in response to stimuli associated with a severe stressor), or Separation Anxiety Disorder (e.g., in response to being away from home or close relatives).