Panic attacks seen in panic disorder; Sometimes it can occur with agoraphobia and sometimes without agoraphobia. Agoraphobia can sometimes occur without a panic attack.
DSM IV Panic Attack Diagnostic Criterion:
A discrete form of intense fear or discomfort in which four of the following symptoms begin abruptly and reach a peak within 10 minutes, and 4 of 13 physiological or cognitive symptoms should have:
1. Palpitations, palpitations, or increased heart rate
2. Sweating
3. Shaking or shaking
4. Feelings of shortness of breath or choking
5. Shortness of breath
6. Chest pain or feeling of tightness in the chest
7. Nausea or abdominal pain
8. Dizziness, feeling light-headed, feeling like you are going to fall or fainting
9. Derealization (feelings of unreality) or depersonalization (detachment)
10. Losing control or fear of going crazy
11. Fear of death
(980070) 2) 12. Paresthesias (numbness or tingling sensations)
13. Chills, chills or hot flashes
Agoraphobia: A panic attack that may occur unexpectedly or is situationally predisposed. Anxiety about being in places or situations from which help may not be available or escape may be difficult (or distressing) if panic-like symptoms occur. Agoraphobic fears include a number of specific situations, such as being outside the house alone, being in a crowd or waiting in line, being on a bridge, and going for a trip by bus, train, or automobile.
The main symptom of panic disorder is panic attacks and it is seen less frequently in children and adolescents compared to other anxiety disorders. In fact, there is no real threat or danger before panic attacks. As the symptoms during a panic attack create feelings and thoughts such as having a heart attack, fainting, choking, choking, or not being able to swallow, the individual may experience fear of death, going crazy or losing control, going crazy. Panic attacks come on unexpectedly, peak within 10 minutes, then slowly subside and disappear. Children can sometimes attribute their symptoms to external events (like my heart is beating fast because I had a fight with my friend). Cognitive symptoms are reported less frequently in children and adolescents. Avoidance of crowded places is most frequently reported (cinema, birthday celebrations).
Panic attacks occur especially in late adolescence and 30s. In general, its prevalence is between 1.5-3%. Adolescents and adults with panic disorder are likely to experience various anxiety disorders in childhood (separation anxiety, social anxiety, …). Panic disorder occurs 2-3 times more frequently in girls than boys.
Panic disorder is seen more frequently in the families of individuals with panic disorder. Although panic disorder may appear suddenly, research has shown that stressful life events precede it. It is more common before traumatic experiences such as family stress, parental separation, sexual abuse.
90% of children and adolescents with panic disorder have mental disorders such as separation anxiety disorder, social phobia, generalized anxiety, and depression.
Although it responds well to treatment, relapses and chronic courses are very common.
