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PANIC DISORDER

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Signs and Symptoms of Panic Disorder
The following symptoms are of possible manifestations of a panic attack as defined by DSM - IV

  1. Palpitations, pounding heart or accelerated heart rate 
  2. Fear of losing control or going crazy 
  3. Fear of dying 
  4. Sense of impending doom
  5. Shortness of breath or smothering 
  6. Suffocation 
  7. Sweating 
  8. Trembling or shaking 
  9. Chest pain or discomfort 
  10. Nausea or abdominal pain 
  11. Dizziness, restlessness, dizziness or fainting 
  12. Derealization or depersonalization (feeling detached from oneself) 
  13. Numbness or tingling 
  14. Chills or hot flushes 
Other symptoms can include headache, cold hands, diarrhea, insomnia, fatigue, intrusive thoughts and reflections.

Consequences of panic disorder 
Panic disorder can be a major obstacle in the way of life. Many people with agoraphobia cannot travel alone or in crowds or malls or public transportation. People with panic disorder may also have problems with employment and depression.
 In addition, people with panic disorder at increased risk for alcohol abuse and suicide that the general population.

Various Panic triggers include: 
  1. Injury (eg, accidents, surgery) 
  2. Disease 
  3. Interpersonal conflicts or loss 
  4. The use of cannabis (which may be associated with panic attacks, perhaps due to the retention of breath)
  5. The use of stimulants such as caffeine, decongestants, cocaine, stimulants (eg amphetamines, MDMA)
  6. Some settings, such as shops and public transport (particularly in patients with agoraphobia)
  7. Sertraline, in the asymptomatic patients may induce panic attacks. 
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