Editing Panic attack (section)

==Diagnosis==
According to the [[DSM-5]], a panic attack is part of the diagnostic class of [[anxiety disorder]]s.<ref name=":0">{{Cite web |last=Rockville (MD) |first=Substance Abuse and Mental Health Services Administration. |date=June 2016 |title=Table 3.10, Panic Disorder and Agoraphobia Criteria Changes from DSM-IV to DSM-5 |url=https://www.ncbi.nlm.nih.gov/books/NBK519704/table/ch3.t10/ |access-date=14 March 2023 |website=www.ncbi.nlm.nih.gov |language=en |archive-date=7 March 2023 |archive-url=https://web.archive.org/web/20230307001612/https://www.ncbi.nlm.nih.gov/books/NBK519704/table/ch3.t10/ |url-status=live }}</ref> DSM-5 criteria for a panic attack is defined as "''an abrupt surge of intense fear or intense discomfort that reaches a peak within minutes and during which time four or more of the following symptoms occur":<ref name=":0" />'' 
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*Palpitations, and/or accelerated heart rate
*Sweating
*Trembling or shaking
*Sensations of shortness of breath or being smothered
*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 insane
*Sense of impending doom
*Paresthesias (numbness or tingling sensations)
*Chills or heat sensations
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While some patients go to the emergency department due to their physical symptoms, there is no laboratory or imaging test used to diagnose panic attacks, it is a purely clinical diagnosis (i.e., the doctor uses their experience and expertise to diagnose panic attacks) once other more life-threatening diseases have been ruled out.<ref name=":3" /> Due to the physical symptoms that occur with a panic attack, people tend go to the emergency department for further evaluation; however, those who are experiencing panic attacks that are affecting their health and wellness should be seen by a mental health professional, such as a therapist or psychiatrist.<ref name=":3" /> Screening tools, such as the Panic Disorder Screener (PADIS), can be used to detect possible cases of panic disorder and suggest the need for a formal diagnostic assessment with a psychiatrist for further evaluation.<ref>{{Cite web |title=Panic Disorder Screener (PADIS) |url=https://nceph.anu.edu.au/research/tools-resources/panic-disorder-screener-padis |access-date=2024-10-30 |website=ANU National Centre for Epidemiology and Population Health |language=en}}</ref>