Anxiety
Disorders in Children and Adolescents
Panic
Disorder
Panic Disorder is diagnosed when a child suffers at least
two unexpected Panic
Attacks, followed by at least 1 month of concern over
having another attack, losing control, or "going crazy."
The most common age of onset for Panic Disorder is the early
to mid twenties. It is not common in young children, but can
begin in adolescence.
A
Panic Attack is defined as the abrupt onset of an episode
of intense fear or discomfort, which peaks in approximately
10 minutes, and includes at least four of the following symptoms:
| |
a feeling of imminent danger or doom; |
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the need to escape; |
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palpitations; |
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sweating; |
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trembling; |
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shortness
of breath or a smothering feeling; |
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a
feeling of choking; |
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chest
pain or discomfort; |
| |
nausea
or abdominal discomfort; |
| |
dizziness
or lightheadedness; |
| |
a sense of things being unreal, depersonalization; |
| |
a
fear of ;losing control or "going crazy" |
| |
a
fear of dying; |
| |
tingling sensations; |
| |
chills
or hot flushes. |
Children,
like adults, often become apprehensive when in situations
or places where they have previously had attacks, and may
begin to avoid these situations and places. Agoraphobia
can develop when the child begins to avoid situations in which
he/she has had a panic attack previously, or situations and
places from which the child feels that he/she would not be
able to escape if experiencing a Panic Attack.