Panic Disorder Self-Test
If you suspect you may be suffering from panic disorder, complete the following self-test by clicking the "yes" or "no" boxes next to each question, print out the test and show the results to your health care professional.
HOW CAN I TELL IF IT'S PANIC DISORDER?
Are you troubled by:
1. | Repeated, unexpected "attacks" during which you suddenly are overcome by intense fear or discomfort, for no apparent reason? |
Yes No
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During this attack, did you experience any of these symptoms?
2. | Pounding heart |
Yes No
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3. | Sweating |
Yes No
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4. | Trembling or shaking |
Yes No
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5. | Shortness of breath |
Yes No
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6. | Choking |
Yes No
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7. | Chest pain |
Yes No
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8. | Nausea or abdominal discomfort |
Yes No
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9. | "Jelly" legs |
Yes No
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10. | Dizziness |
Yes No
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11. | Feelings of unreality or being detached from yourself |
Yes No
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12. | Fear of dying |
Yes No
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13. | Numbness or tingling sensations |
Yes No
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14. | Chills or hot flashes |
Yes No
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15. | Do you experience 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
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16. | Does being unable to travel without a companion trouble you? |
Yes No
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For at least one month following an attack, have you:
17. | Felt persistent concern about having another one? |
Yes No
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18. | Worried about having a heart attack or going "crazy"? |
Yes No
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19. | Changed your behavior to accommodate the attack? |
Yes No
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Having more than one illness at the same time can make it difficult to diagnose and treat the different conditions. Illnesses that sometimes complicate anxiety disorders include depression and substance abuse. With this in mind, please take a minute to answer the following questions.
20. | Have you experienced changes in sleeping or eating habits? |
Yes No
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More days than not, do you feel:
21. | Sad or depressed? |
Yes No
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22. | Disinterested in life? |
Yes No
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23. | Worthless or guilty? |
Yes No
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During the last year, has the use of alcohol or drugs:
24. | Resulted in your failure to fulfill responsibilities with work, school, or family? |
Yes No
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25. | Placed you in a dangerous situation, such as driving a car under the influence? |
Yes No
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26. | Gotten you arrested? |
Yes No
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27. | Continued despite causing problems for you and/or your loved ones? |
Yes No
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