Diagnosis of Panic Disorder
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Diagnosis of ]]>panic disorder]]> can be difficult because several other physical and mental disorders are associated with panic attacks. You will need a thorough physical and mental evaluation before a proper diagnosis can be made. Diagnosis of panic attack is based on a proper evaluation and the criteria outlined in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
In the DSM-IV, panic disorder is defined as recurrent, unexpected panic attacks followed by at least one month of persistent concern about having another attack, worry about the consequences of panic attacks, and a change in behavior as a result of the attacks.
Your doctor will conduct an evaluation that may include the following:
Your doctor will ask about the following:
- Your medical history
- Symptoms you experience during an attack
- How long you have been having the attacks
- When the attacks started
- How often they occur
- When and where they tend to occur
- How long they last
- What effect they have on your ability to function
Evaluation of Medical Disorders
Your doctor will also look for and rule out medical disorders that could cause your symptoms. Medical conditions commonly associated with panic disorder include:
- ]]>Cardiac arrhythmias]]>
- ]]>Mitral valve prolapse]]>
- ]]>Cushing’s syndrome]]>
- Carcinoid syndrome
- ]]>Parkinson’s disease]]> treated with ]]>levodopa]]>
- ]]>Heart attack]]>
- ]]>Pulmonary embolism]]>
- Episodic ]]>hypoglycemia]]>
Your doctor should also ask about your intake of:
- ]]>Herbs and supplements]]>
Evaluation for Substance Abuse
Use or withdrawal from addictive substances can cause symptoms of panic. Substances that can cause symptoms of panic include stimulants, such as ]]>cocaine]]> and caffeine. Your doctor may also ask about your use of ]]>alcohol]]>, ]]>nicotine]]>, addictive medications (particularly sedatives), ]]>illegal drugs]]>, and other substances.
Evaluation of Other Psychiatric Disorders
]]>Depression]]> , ]]>generalized anxiety disorder]]> , ]]>social phobia]]> , substance abuse, and personality disorders often occur with panic disorder. You may be evaluated for these and other disorders.
Alloy L, Acocella J, Jacobsen N. Abnormal Psychology . 8th ed. Boston, MA: McGraw-Hill; 2000.
Panic disorder. National Institute of Mental Health website. Available at: http://www.nimh.nih.gov/health/topics/panic-disorder/index.shtml.
Moore DP, Jefferson JW. Handbook of Medical Psychiatry. 2nd ed. Philadelphia, PA: Elsevier Mosby; 2004.
Last reviewed March 2009 by ]]>Rosalyn Carson-DeWitt, MD]]>
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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