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DSM-IV Diagnostic Criteria for Panic Disorder With or Without Agoraphobia

A. Both (1) and (2):

(1) recurrent unexpected Panic Attacks

(2) at least one of the attacks has been followed by 1 month (or more) of one (or more) of the following:

  1. persistent concern about having additional attacks

  2. worry about the implications of the attack or its consequences (e.g., losing control, having a heart attack, "going crazy")

  3. a significant change in behavior related to the attacks

B. Presence or Absence of Agoraphobia

C. The Panic Attacks are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hyperthyroidism).

D. The Panic Attacks not better accounted for by another mental disorder, such as Social Phobia (e.g., occurring on exposure to feared social situations), Specific Phobia (e.g., on exposure to a specific phobic situation), Obsessive-Compulsive Disorder (e.g., on exposure to dirt in someone with an obsession about contamination), Posttraumatic Stress Disorder (e.g., in response to stimuli associated with a severe stressor), or Separation Anxiety Disorder (e.g., in response to being away from home or close relatives).

Related Criteria

DSM-IV Diagnostic Criteria for Agoraphobia

DSM-IV Diagnostic Criteria for Panic Attack

DSM-IV Diagnostic Criteria for Anorexia Nervosa

DSM-IV Diagnostic Criteria for Bulimia Nervosa

DSM-IV Diagnostic Criteria for Major Depressive Episode

DSM-IV Diagnostic Criteria for Alcohol Abuse

DSM-IV Diagnostic Criteria for Alcohol Dependence


  1. DSM-IV. American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC.

This material was taken from the DSM-IV. It is intended for educational purposes only.

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Created: March 8, 2005
Last Modified: 10/17/2010





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