Your doctor or other health care provider must determine if you have panic attacks, panic disorder or another condition, such as heart or thyroid problems, that resembles panic symptoms.
To help pinpoint a diagnosis, you may have:
- A complete physical exam
- Blood tests to check your thyroid and other possible conditions and tests on your heart, such as an electrocardiogram (ECG or EKG)
- A psychological evaluation to talk about your symptoms, stressful situations, fears or concerns, relationship problems, and other issues affecting your life
You may fill out a psychological self-assessment or questionnaire. You also may be asked about alcohol or other substance use.
Criteria for diagnosis of panic disorder
Not everyone who has panic attacks has a panic disorder. For a diagnosis of panic disorder, the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association, lists these points:
- You have frequent, unexpected panic attacks.
- At least one of your attacks has been followed by one month or more of ongoing worry about having another attack; continued fear of the consequences of an attack, such as losing control, having a heart attack or "going crazy"; or significantly changing your behavior, such as avoiding situations that you think may trigger a panic attack.
- Your panic attacks aren't caused by drugs or other substance use, a medical condition, or another mental health condition, such as social phobia or obsessive compulsive disorder.
If you have panic attacks but not a diagnosed panic disorder, you can still benefit from treatment. If panic attacks aren't treated, they can get worse and develop into panic disorder or phobias.
May 19, 2015
- Panic disorder. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://www.psychiatryonline.org. Accessed April 20, 2015.
- Ciechanowski P. Panic disorder: Epidemiology, pathogenesis, clinical manifestations, course, assessment, and diagnosis. http://www.uptodate.com/home. Accessed April 21, 2015.
- Panic disorder: When fear overwhelms. National Institute of Mental Health. http://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms/index.shtml. Accessed April 20, 2015.
- Answers to your questions about panic disorder. American Psychological Association. http://www.apa.org/topics/anxiety/panic-disorder.aspx. Accessed April 20, 2015.
- Craske M. Psychotherapy for panic disorder. http://www.uptodate.com/home. Accessed April 21, 2015.
- Inositol. National Medicines Comprehensive Database. http://naturaldatabase.com. Accessed April 20, 2015.
- Gaudlitz K, et al. Aerobic exercise training facilitates the effectiveness of cognitive behavioral therapy in panic disorder. Depression and Anxiety. 2015;32:221.
- Vorkapic CF, et al. Reducing the symptomatology of panic disorder: The effects of a yoga program alone and in combination with cognitive-behavioral therapy. Frontiers in Psychiatry. 2014;5:1.
- Roy-Byrne PP. Pharmacotherapy for panic disorder. http://www.uptodate.com/home. Accessed April 21, 2015.
- Clonazepam, alprazolam, venlafaxine hydrochloride, fluoxetine hydrochloride, paroxetine mesylate, paroxetine hydrochloride, sertraline hydrochloride. Micromedex 2.0 Healthcare Series. http://www.micromedexsolutions.com. Accessed April 22, 2015.
- Sawchuk CA (expert opinion). Mayo Clinic, Rochester, Minn. May 8, 2015.
- Hall-Flavin DK (expert opinion). Mayo Clinic, Rochester, Minn. May 11, 2015.
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