Introduction & Theoretical Background
Panic attacks are experienced by nearly 1 out of every 4 people at some point in their life (Kessler, Chiu, Jin, et al, 2006) but like many anxiety disorders, they are under-diagnosed and often go unrecognized (Kasper, 2006).
The DSM-5 diagnostic criteria for a panic attack include:
- An abrupt surge of intense fear or intense discomfort that reaches a peak within minutes, and during which time 4 (or more) of the following symptoms occur:
- Palpitations, pounding heart, or accelerated heart rate
- Sweating
- Trembling or shaking
- Sensations of shortness of breath or smothering
- Feelings of choking
- Chest pain or discomfort
- Nausea or abdominal distress
- Feeling dizzy, unsteady, light-headed, or faint
- Chills or heat sensations
- Paresthesias (numbness or tingling sensations)
- Derealization (feelings of unreality) or depersonalization (being detached from one-self)
- Fear of losing control or “going crazy”
- Fear of dying
The ICD-11 diagnostic criteria for panic attacks include:
- A discrete episode of intense fear or apprehension characterized by the rapid and concurrent onset of several characteristic symptoms:
- Palpitations, pounding heart,