Diagnosis of panic disorder can be difficult. Several other physical and mental disorders are related to panic attacks. You will need a thorough physical and mental evaluation before a proper diagnosis can be made. Diagnosis of panic attack is based on a proper evaluation and the standards outlined in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

In the DSM-5, panic disorder is defined as repeating, unexpected panic attacks. It is followed by at least one month of concern about having another attack, worry about the consequences of panic attacks, and a change in behavior as a result of the attacks.

Your doctor will conduct an evaluation that may include the following:

Initial Assessment

Your doctor will ask about the following:

  • Your medical history
  • Symptoms you experience during an attack
  • How long you have been having the attacks
  • When the attacks started
  • How often they occur
  • When and where they tend to occur
  • How long they last
  • What effect they have on your ability to function
  • Evaluation of Medical Disorders

    Your doctor will also look for and rule out medical disorders that could cause your symptoms including:

  • Hyperthyroidism
  • Cardiac arrhythmias
  • Mitral valve prolapse
  • Cushing’s syndrome
  • Carcinoid syndrome
  • Parkinson’s disease treated with levodopa
  • Heart attack
  • Pulmonary embolism
  • Episodic hypoglycemia
  • Mastocytosis
  • Pheochromocytoma
  • Your doctor should also ask about your intake of:

  • Medications
  • Foods
  • Herbs and supplements
  • Evaluation for Substance Abuse

    Use or withdrawal from addictive substances can cause symptoms of panic. Substances that can cause symptoms of panic include stimulants, such as cocaine and caffeine. Your doctor may also ask about your use of alcohol , nicotine , addictive medications (particularly sedatives), illegal drugs , and other substances.

    Evaluation of Other Psychiatric Disorders

    Depression , generalized anxiety disorder , social phobia , substance abuse, and personality disorders often occur with panic disorder. You may be evaluated for these and other disorders.