Characteristic, acute episodes of physical symptoms and intense fear that rapidly peak within 10 min and resolve in∼20 min
There may be a nonfearful variant in medical patients.
Multiple systems suggest autonomic arousal
Chest pain or discomfort
Shortness of breath
Feeling of choking
If diagnosis is supported by previous events, history and workup:
Reassurance and diversion
Does not require emergent care
If 1st episode, treat and transport as appropriate to pres...
As medically indicated to rule out organic cause
Meets criteria for psychiatric admission (suicidal, homicidal)
Panic is “contagious.” Try not to be infected by the patient's sense of urgency to stop the symptoms; they will resolve spontaneously.
Be calm so as not to add to the patient's alar...
Lader M. Management of panic disorder. Expert Rev Neurother. 2005;5(2):259–266.
Lessard MJ, Marchand A, Pelland MÈ, et al. Comparing two brief psychological interventions t...
300.01 Panic disorder without agoraphobia
300.21 Agoraphobia with panic disorder
F40.01 Agoraphobia with panic disorder
F41.0 Panic disorder without agoraphobia
225624000 Panic attack...
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