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:: Volume 2 - The Summer Supplement of Shefaye Khatam 1 - ::
Shefaye Khatam 2014, 2 - The Summer Supplement of Shefaye Khatam 1 -: 179-179 Back to browse issues page
P155: Differential Diagnosis of Panic Attacks: Using a Decision Tree
Ali Khazaee * , Usha Barahmand
Department of Psychology, Faculty of Education & Psychology, University of Mohaghegh Ardabili, Ardabil, Iran. , Ali.khazaee87@yahoo.com
Abstract:   (4743 Views)
Panic attacks are discrete episodes of intense fear or discomfort accompanied by symptoms such as palpitations, shortness of breath, sweating, trembling, derealization and a fear of losing control or dying. Although panic attacks are required for a diagnosis of panic disorder, they also occur in association with a host of other disorders listed in the 5h version of the diagnostic and statistical manual of mental disorders. This paper presents the steps in making a differential diagnosis of panic attacks. Detailed explanations with appropriate examples are provided to illustrate each of the decision-making process. The first step in the differential for a panic attack is to rule out the presence of etiological substance or medication use. When taken in high enough doses or during substance withdrawal, a number of substances and medications can lead to a panic attack. Next, possible etiological general medical conditions such as hyperthyroidism or pheochromocytoma, should be considered. Once it is clear that panic attacks are not the direct physiological consequence of a substance or medical condition, the next step is to determine the relationship between the panic attacks and a possible situational trigger. Finally, panic attacks triggered by a realistic event do not warrant a diagnosis of a mental disorder. An illustrative flow chart which will facilitate the differential diagnosis of panic attacks is provided in this review.
Keywords: Differential Diagnosis, Panic Attacks, Anxiety, Decision Tree
Full-Text [PDF 172 kb]   (1177 Downloads)    
Type of Study: Review --- Open Access, CC-BY-NC | Subject: Psycology


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Khazaee A, Barahmand U. P155: Differential Diagnosis of Panic Attacks: Using a Decision Tree. Shefaye Khatam 2014; 2 (S1) :179-179
URL: http://shefayekhatam.ir/article-1-282-en.html


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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 2 - The Summer Supplement of Shefaye Khatam 1 - Back to browse issues page
مجله علوم اعصاب شفای خاتم The Neuroscience Journal of Shefaye Khatam
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