Panic Disorder Self-Test

	Pregnancy and Medication Social Anxiety Disorder and Depression

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?
Yes or no? Are you troubled by:

Yes No

Repeated, unexpected "attacks" during which you suddenly are overcome by intense fear or discomfort, for no apparent reason?

During this attack, did you experience any of these symptoms?

Yes No	Pounding heart
Yes No	Sweating
Yes No	Trembling or shaking
Yes No	Shortness of breath
Yes No	Choking
Yes No	Chest pain
Yes No	Nausea or abdominal discomfort
Yes No	"Jelly" legs
Yes No	Dizziness
Yes No	Feelings of unreality or being detached from yourself
Yes No	Fear of dying
Yes No	Numbness or tingling sensations
Yes No	Chills or hot flashes
Yes No	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	Does being unable to travel without a companion trouble you?

For at least one month following an attack, have you:

Yes No	Felt persistent concern about having another one?
Yes No	Worried about having a heart attack or going "crazy"?
Yes No	Changed your behavior to accommodate the attack?

Having more than one illness at the same time can make it difficult to diagnose and treat the different conditions. Illnesses that sometimes complicate an anxiety disorder include depression and substance abuse. With this in mind, please take a minute to answer the following questions:

Yes No

Have you experienced changes in sleeping or eating habits?

More days than not, do you feel:

Yes No	Sad or depressed?
Yes No	Disinterested in life?
Yes No	Worthless or guilty?

During the last year, has the use of alcohol or drugs:

Yes No	Resulted in your failure to fulfill responsibilities with work, school, or family?
Yes No	Placed you in a dangerous situation, such as driving a car under the influence?
Yes No	Gotten you arrested?
Yes No	Continued despite causing problems for you and/or your loved ones?

Reference:
Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC, American Psychiatric Association, 1994.

If you or someone you know would like more information on panic disorder, please click here to go to the ADAA resource page on this topic.