Panic Disorder

Panic disorder is a pattern of recurrent unexpected panic attacks together with persistent worry about more attacks or avoidance of situations related to them.

Definition

A panic attack is a sudden surge of intense fear peaking within minutes. Panic disorder is diagnosed when attacks recur and are followed by lasting concern or behavioral change (such as avoiding exercise or public places). Agoraphobia may co-occur. The Panic Disorder Severity Scale (PDSS) and anxiety screens help describe severity; only a clinician can diagnose panic disorder.

What it can feel like

  • Repeated “out of the blue” panic attacks.
  • Constant fear of the next attack.
  • Avoiding places where panic happened before.
  • Changing daily routines to feel safer.

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Frequently asked questions

Is one panic attack panic disorder?

No. Many people have a panic attack without developing panic disorder. The disorder involves recurrence plus ongoing worry or avoidance.

How is panic disorder different from GAD?

GAD features chronic worry across many topics. Panic disorder centers on panic attacks and fear of the attacks themselves.

What does the PDSS measure?

The PDSS rates panic frequency, distress, avoidance, and related impairment. It supports clinical conversation, not self-diagnosis.

Sources

  • American Psychiatric Association — panic disorder overview
  • Shear MK, et al. Panic Disorder Severity Scale (PDSS)
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