What are symptoms of a panic attack?

DSM-5 Diagnostic Criteria for Panic Attack: A discrete period of intense fear or discomfort, in which four (or more) of the following symptoms developed abruptly and reached a peak within minutes:

• Palpitations, and/or accelerated heart rate
• Sweating
• Trembling or shaking
• Sensations of shortness of breath or being smothered
• Feeling of choking
• Chest pain or discomfort
• Nausea or abdominal distress

• Feeling dizzy, unsteady, lightheaded, or faint
• De-realization (feelings of unreality) or depersonalization (being detached from oneself)
• Fear of losing control or going insane
• Sense of impending death
• Paresthesias (numbness or tingling sensations)
• Chills or hot flashes

In DSM-5, culture-specific symptoms (e.g., tinnitus, neck soreness, headache, and uncontrollable screaming or crying) may be seen. Such symptoms should not count as one of the four required symptoms.

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