Panic disorder : stepped approach summary NICE

Panic Disorder is a distressing and impactful mental health condition characterized by recurrent and unexpected panic attacks. These attacks are episodes of intense fear or discomfort that escalate rapidly, often accompanied by physical symptoms such as palpitations, sweating, trembling, shortness of breath, and a feeling of impending doom. The disorder is distinguished not just by the occurrence of these attacks, but also by the persistent worry about future attacks and the behavioural changes designed to avoid them, which can significantly impair daily functioning. Panic Disorder can occur with or without agoraphobia, the fear of being in situations where escape might be difficult or help might not be readily available.

Understanding and effectively managing Panic Disorder is crucial, as it often co-occurs with other conditions like depression and substance misuse, and can substantially affect quality of life. Accurate diagnosis and a structured approach to treatment, which may include psychotherapy, medication, and lifestyle modifications, are key to helping individuals manage symptoms and improve their overall well-being.

Step 1: Recognition and Diagnosis of Panic Disorder