Panic attack is: September 2005
## Core Concept
Panic attacks are discrete periods of intense fear or discomfort that reach a peak within minutes and include symptoms such as palpitations, sweating, trembling, shortness of breath, and feelings of impending doom. They are a key feature of panic disorder, a type of anxiety disorder. Understanding the diagnostic criteria and symptomatology of panic attacks is crucial for managing patients with anxiety disorders.
## Why the Correct Answer is Right
The correct answer describes a panic attack as a discrete period of intense fear or discomfort that reaches a peak within minutes and includes at least four of the following symptoms: palpitations, pounding heart, or accelerated heart rate; sweating; trembling or shaking; sensations of shortness of breath or smothering; feeling of choking; chest pain or discomfort; nausea or abdominal distress; feeling dizzy, unsteady, lightheaded, or faint; derealization (feelings of unreality) or depersonalization (being detached from oneself); fear of losing control or going crazy; fear of dying; paresthesias (numbness or tingling sensations); and chills or hot flashes. This description aligns with the DSM-5 criteria for a panic attack.
## Why Each Wrong Option is Incorrect
**Option A:** This option is incorrect because it does not accurately describe a panic attack. Without the specific details provided in the option, it's clear that it does not meet the diagnostic criteria for a panic attack as outlined in psychiatric references.
**Option B:** This option is incorrect as it likely describes a condition or phenomenon that does not align with the defining characteristics of a panic attack, such as the specific symptomatology and duration.
**Option D:** This option is incorrect because it presumably does not accurately capture the essence of a panic attack, possibly confusing it with another psychiatric or medical condition.
## Clinical Pearl / High-Yield Fact
A key clinical pearl is that panic attacks can occur in various anxiety disorders, not just panic disorder. They can also be triggered by specific situations or occur unexpectedly. Recognizing the symptoms of a panic attack is crucial for providing appropriate treatment, which may include cognitive-behavioral therapy (CBT) and medications such as selective serotonin reuptake inhibitors (SSRIs).
## Correct Answer: C.