Understanding Panic Disorder

A Comprehensive Guide to Symptoms, Diagnosis, and Treatment

Psychiatry

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Last updated: Mar 24, 2025

What is Panic Disorder?

Panic disorder is a type of anxiety disorder characterized by unexpected and recurring panic attacks, along with persistent worry about future attacks and their consequences.

Key Symptoms

During a Panic Attack:

  • Rapid heartbeat or heart palpitations
  • Sweating
  • Trembling or shaking
  • Shortness of breath
  • Feelings of choking
  • Chest pain or discomfort
  • Nausea
  • Dizziness or lightheadedness
  • Fear of losing control or dying

Diagnosis

A healthcare provider will diagnose panic disorder based on:

  • Frequency and intensity of panic attacks
  • Physical examination to rule out other conditions
  • Psychological evaluation
  • DSM-5 diagnostic criteria

Treatment Options

Psychotherapy

  • Cognitive Behavioral Therapy (CBT)
  • Exposure therapy
  • Panic-focused psychodynamic psychotherapy

Medications

  • Selective Serotonin Reuptake Inhibitors (SSRIs)
  • Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs)
  • Benzodiazepines (for short-term use)

Lifestyle Changes

  • Regular exercise
  • Stress management techniques
  • Adequate sleep
  • Avoiding caffeine and alcohol
  • Practicing relaxation techniques

Coping Strategies

  1. Deep breathing exercises
  2. Grounding techniques
  3. Progressive muscle relaxation
  4. Mindfulness meditation

When to Seek Help

Seek immediate medical attention if you experience:

  • Severe chest pain
  • Difficulty breathing
  • Severe dizziness
  • Intense fear of dying

Prognosis

With proper treatment and support, many people with panic disorder experience significant improvement in their symptoms and quality of life.

Support Resources

  • Mental health professionals
  • Support groups
  • Crisis hotlines
  • Online resources and communities

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