Panic Disorder Test
A panic disorder test is a diagnostic process used to determine if recurring, intense panic attacks are caused by a panic disorder or an underlying physical health condition.
What is a panic disorder test?
Panic disorder is an anxiety disorder characterized by repeated, unexpected panic attacks—sudden episodes of intense fear or discomfort. These attacks can cause physical symptoms such as chest pain, rapid heartbeat, dizziness, and shortness of breath, often leading people to believe they are having a heart attack.
Because these symptoms mimic physical illnesses, a "test" for panic disorder involves a comprehensive evaluation to rule out other medical issues before confirming a mental health diagnosis.
Why do I need a panic disorder test?
You may need an evaluation if you have experienced two or more unexpected panic attacks and live in fear of future episodes. A panic attack is typically identified by the presence of at least four of the following symptoms:
- Palpitations or racing heart
- Chest pain or discomfort
- Shortness of breath or feeling of suffocation
- Sweating, chills, or heat sensations
- Dizziness, light-headedness, or unsteadiness
- Trembling or shaking
- Nausea or upset stomach
- Fear of losing control or dying
- Feeling of choking
- Depersonalization (feeling detached from oneself)
- Derealization (feeling as if the world is unreal)
- Numbness or tingling
What happens during the evaluation?
The diagnostic process involves:
- Physical Exam: Your provider will check your health to rule out conditions like heart issues or thyroid problems.
- Blood Tests: Used to rule out physical causes for your symptoms.
- Mental Health Assessment: A mental health professional will ask detailed questions about your mood, feelings, and behaviors, and may ask you to complete a questionnaire.
What do the results mean?
A diagnosis of panic disorder is considered if you have frequent, unexpected attacks, ongoing worry about future attacks, and avoid certain situations due to that fear, provided no other physical or mental health condition is responsible. Treatment often includes:
- Talk therapy or Cognitive-behavioral therapy (CBT).
- Mental health counseling.
- Medications, such as anti-anxiety or antidepressant drugs.
- Lifestyle changes, such as reducing caffeine and alcohol, improving sleep, and regular exercise.
Types of Mental Health Providers
If diagnosed, you may be referred to a specialist:
- Psychiatrists: Medical doctors who can prescribe medication.
- Psychologists: Professionals trained in therapy; they generally do not prescribe medication.
- Psychiatric/Mental Health Nurses (APRNs, CNPs, CNSs): Nurses with specialized training who may be able to prescribe medication depending on state regulations.
- Licensed Clinical Social Workers (LCSW) & Licensed Professional Counselors (LPC): Professionals who provide therapy and counseling but do not prescribe medication.