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Panic Disorder Test
Answer the following panic disorder test questions honestly with a "yes" or a "no."
1: Are you troubled by the following?
Repeated or unexpected "attacks" during which you suddenly are overcome by intense fear or discomfort for no apparent reason
Yes
No
If yes, during an attack did you experience any of these symptoms?
Pounding heart
Yes
No
Sweating
Yes
No
Trembling or shaking
Yes
No
Shortness of breath
Yes
No
Choking
Yes
No
Chest pain
Yes
No
Nausea or abdominal discomfort
Yes
No
"Jelly" legs
Yes
No
Dizziness
Yes
No
Fear of losing control or "going crazy"
Yes
No
Fear of dying
Yes
No
Numbness or tingling sensations
Yes
No
Chills or hot flushes
Yes
No
2. As a result of these attacks, have you...
Experienced a fear of places or situations where getting help or escape might be difficult, such as in a crowd or on a bridge?
Yes
No
Felt unable to travel without a companion?
Yes
No
3. For at least one month following an attack, have you...
Felt persistent concern about having another one?
Yes
No
Worried about having a heart attack or "going crazy"?
Yes
No
Changed your behavior to accommodate the attack?
Yes
No
4. Have you experienced changes in sleeping or eating habits?
Yes
No
5. More days than not, do you feel...
sad or depressed?
Yes
No
disinterested in life?
Yes
No
worthless or guilty?
Yes
No
6. During the last year, has the use of alcohol or drugs...
Resulted in your failure to fulfill responsibilities with work, school, or family?
Yes
No
Placed you in a dangerous situation, such as driving a car under the influence?
Yes
No
Gotten you arrested?
Yes
No
Continued despite causing problems for you or your loved ones?
Yes
No
SUBMIT
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