What are the symptoms of a panic attack?

The Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) has the following criteria for panic attacks:

A discrete period of intense fear or discomfort, in which four (or more) of the following symptoms developed abruptly and reached a peak within 10 minutes.

• Palpitations, pounding heart, or accelerated heart rate
• Sweating
• Trembling or shaking
• Sensations of shortness of breath or smothering
• 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 crazy
• Fear of dying
• Paresthesias (numbness or tingling sensations)
• Chills or hot flushes

Do these symptoms sound familiar? If so, you should consult a health professional to establish whether you might be experiencing panic attacks.

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