Panic disorderTheindividualdevelopslightheadedness,peoplebecomeconcerned andpreoccupiedwiththeseexperience.panic disorderanxietydepressionagoraphobia23befearfulofgive up workvisit theirconcernsaboutgoing outdoctorphysicalalonefrequentlydisease
Panic disorder panic disorder anxiety depression agoraphobia 1 2 3 4 be fearful of give up work going out alone concerns about physical disease visit their doctor frequently The individual develops lightheadedness, people become concerned and preoccupied with these experience
PanicDisorderDiagn0sticCriteria300.01 (F41.0)A.Recurrentunexpectedpanicattacks.Apanicattackisanabruptsurgeofintensefearorintensediscomfortthatreachesapeakwithinminutes,andduringwhichtimefour(ormore)ofthefollowingsymptomsoccur;Note:Theabruptsurgecan occurfromacalm stateorananxiousstate.1.Palpitations,poundingheart,oracceleratedheartrate.2.Sweating.3.Tremblingorshaking.4.Sensationsofshortnessofbreathorsmothering5.Feelingsof choking.6.Chestpainordiscomfort7.Nauseaorabdominaldistress.8.Feelingdizzy,unsteady,light-headed,orfaint.9.Chillsorheatsensations.1o.Paresthesias(numbnessortinglingsensations)11.Derealization (feelingsofunreality)ordepersonalization (beingdetachedfromoneself)。12.Fearof losingcontrol or"going crazy"13.FearofdyingNote:Culture-specificsymptoms(e.g.,tinnitus,necksoreness,headache,uncontrollablescreamingorcrying)maybeseen.Such symptoms shouldnot countasoneofthefour required symptoms
• Panic Disorder • Diagnostic Criteria 300.01 (F41.0) • A. Recurrent unexpected panic attacks. A panic attack is an abrupt surge of intense fear • or intense discomfort that reaches a peak within minutes, and during which time four • (or more) of the following symptoms occur; • Note: The abrupt surge can occur from a calm state or an anxious state. • 1. Palpitations, pounding heart, or accelerated heart rate. • 2. Sweating. • 3. Trembling or shaking. • 4. Sensations of shortness of breath or smothering. • 5. Feelings of choking. • 6. Chest pain or discomfort. • 7. Nausea or abdominal distress. • 8. Feeling dizzy, unsteady, light-headed, or faint. • 9. Chills or heat sensations. • 10. Paresthesias(numbness or tingling sensations). • 11. Derealization (feelings of unreality) or depersonalization (being detached from oneself). • 12. Fear of losing control or “going crazy.” • 13. Fear of dying. • Note: Culture-specific symptoms (e.g., tinnitus, neck soreness, headache, uncontrollable • screaming or crying) may be seen. Such symptoms should not count as one of • the four required symptoms
Diagnostic booksCCMD-3TheICD-10ICD-10ClassificationDIAGNOSTICANDSTATISTICAL中国精神障碍分类MANUALOFofMental and与诊断标准MENTALDISORDERSBehaviouralTITMEOITION（第三版）DisordersDSM-5中华医学会精神科分会Clinicadeationanddognontieguldelinen中华医学图书区山东科学技术出版社AMERKCANPSYCHUATRICASSOCIATIONwww.k.coLcmwww.cninedbook:S
Diagnostic books
DSM-5PanicDisorderDiagnostic Criteria300.01(F41.0)A.Recurrentunexpectedpanicattacks.Apanic attack isan abrupt surge of intensefearorintensediscomfortthatreachesapeak within minutes,and duringwhichtimefour(ormore)ofthefollowingsymptomsoccurNote:Theabruptsurgecanoccurfroma calmstateorananxious state,1.Palpitations,poundingheart,oracceleratedheartrate2.Sweating3.Tremblingorshaking4.Sensations of shortness of breathor smothering5.Feelingsofchoking6.Chestpainordiscomfort.7.Nauseaorabdominaldistress8.Feeling dizzy,unsteady,light-headed,orfaint.9.Chills or heat sensations.10. Paresthesias (numbness ortinglingsensations).11.Derealization(feelingsofunreality)ordepersonalization(beingdetachedfromoneself).12.Fearof losingcontrolor"going crazy.13.Fear of dying.Note:Culture-specificsymptoms(e.g.,tinnitus,neck soreness,headache,uncontrollablescreamingorcrying)maybeseen.Suchsymptomsshouldnotcountasoneofthefourrequired symptoms
DSM-5
DSM-5PanicDisorder300.01 (F41.0)DiagnosticCriteriaB.At leastoneof the attackshasbeenfollowedby1month(ormore)ofoneorbothofthefollowing:1.Persistent concern orworry about additionalpanic attacks ortheirconsequences(e.g.,losingcontrol, havingaheartattack,"goingcrazy").2.Asignificantmaladaptivechangeinbehaviorrelatedtotheattacks(e.g.,behaviorsdesignedtoavoidhavingpanic attacks,suchasavoidanceofexerciseorunfamiliarsituations).C.The disturbance is not attributableto the physiological effects ofa substance (e.g.,adrugofabuse,amedication)oranothermedicalcondition(e.g.,hyperthyroidism,cardiopulmonarydisorders).D.The disturbance is notbetterexplainedbyanother mentaldisorder (e.g,thepanicat-tacks do notoccur only in response to feared social situations,as in social anxietydisorder;inresponsetocircumscribedphobicobjectsorsituations,asinspecificphobia;inresponseto obsessions,as in obsessive-compulsive disorder:inresponseto remindersoftraumaticevents,as inposttraumaticstressdisorder;orinresponsetoseparationfromattachmentfigures,asinseparationanxietydisorder)
DSM-5