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Criterion A

• Recurrent unexpected panic attacks occur.
• A panic attack is an abrupt surge of intense fear or intense discomfort that reaches a peak within minutes.

Panic attack symptom list

• Palpitations, pounding heart, or accelerated heart rate.
• Sweating.
• Trembling or shaking.
• Sensations of shortness of breath or smothering.
• Feelings of choking.
• Chest pain or chest discomfort.
• Nausea or abdominal distress.
• Feeling dizzy, unsteady, lightheaded, or faint.
• Chills or heat sensations.
• Paresthesias such as numbness or tingling sensations.
• Derealization or depersonalization.
• Fear of losing control or going crazy.
• Fear of dying.
• Four or more of these symptoms occur during the attack.

Criterion B

• At least one attack has been followed by 1 month or more of persistent concern or worry about additional attacks or their consequences.
• At least one attack has been followed by significant maladaptive behavior change related to the attacks, such as avoidance.

Criterion C

• The disturbance is not attributable to a substance or another medical condition.

Criterion D

• The disturbance is not better explained by another mental disorder such as social anxiety disorder, specific phobia, OCD, PTSD, or separation anxiety disorder.

Related Guides

• Panic Disorder Symptoms and Signs
• Panic Attack vs Panic Disorder
• Panic Disorder Scales and Assessment Tools
• Panic Disorder Treatments and Medications
• When to Seek Professional Help for Panic Disorder