DSM-IV diagnostic criteria for panic disorder with or without agoraphobia; both (1) and (2) |
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(1) Recurrent unexpected panic attacks |
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(2) At least one of the attacks has been followed by 1 mo (or more) of one (or more) of the following: |
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Persistent concern about having additional attacks |
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Worry about the implications of the attack or its consequences (eg, losing control, having a heart attack, “going crazy”) |
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Significant change in behavior related to the attacks |
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Presence or absence of agoraphobia |
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Panic attacks are not due to the direct physiologic effects of a substance (eg, a drug of abuse, a medication) or a general medical condition (eg, hyperthyroidism) |
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Panic attacks not better accounted for by another mental disorder, such as social phobia (eg, occurring on exposure to feared social situations), specific phobia (eg, on exposure to a specific phobic situation), obsessive-compulsive disorder (eg, on exposure to dirt in someone with an obsession about contamination), posttraumatic stress disorder (eg, in response to stimuli associated with a severe stressor), or separation anxiety disorder (eg, in response to being away from home or close relatives) |