Panic Disorder

Amal Shine, MD, Anub John, MD and Hugh Peterson, MD, FACP Reviewed 06/2018
 


BASICS

DESCRIPTION

  • A classic panic attack that is characterized by rapid onset of a brief period of sympathetic nervous system hyperarousal accompanied by intense fear

  • In panic disorder, multiple panic ...

DIAGNOSIS

  • Panic attack: an abrupt surge of intense fear, reaching a peak within minutes in which ≥4 of the following symptoms develop abruptly: (i) palpitations, pounding heart, or accelerated heart r...

TREATMENT

The two options are cognitive-behavioral therapy (CBT) and medical therapy. Studies have shown that both have comparable results and neither has advantage over the other. Combined antidepres...

ONGOING CARE

PATIENT EDUCATION

REFERENCES

1 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013.
2 Furukawa TA, Watanabe N, Churchi...

ADDITIONAL READING

Chen MH, Tsai SJ. Treatment-resistant panic disorder: clinical significance, concept and management. Prog Neuropsychopharmacol Biol Psychiatry.  2016;70:219–226.  [View Abstra...

SEE ALSO

Algorithm: Anxiety 

CODES

ICD10

  • F41.0 Panic disorder without agoraphobia

  • F40.01 Agoraphobia with panic disorder

  • F43.0 Acute stress reaction

ICD9

  • 300.01 Panic disorder without agoraphobia

  • 300.21 Agoraphobia with panic disorder

  • 3...

CLINICAL PEARLS

For medically able patients, 10 minutes of vigorous aerobic exercise at onset of a panic attack often helps patient to feel safe during an attack. Always evaluate a patient with panic ...

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