Take the Panic Disorder Screening

The following is a self assessment. No data will be collected. This is just for your information.

Instructions: Several of the following questions refer to panic attacks and limited symptom attacks. For this questionnaire, we define a panic attack as a sudden rush of fear or discomfort accompanied by at least 4 of the symptoms listed below. In order to qualify as a sudden rush, the symptoms must peak within 10 minutes. Episodes like panic attacks but having fewer than 4 of the listed symptoms are called limited symptom attacks. Here are the symptoms to count:


Rapid or pounding heartbeat
Sweating
Trembling or shaking
Breathlessness
Feeling of choking
Chest pain or discomfort
Nausea
Dizziness or faintness
Feelings of unreality
Numbness or tingling
Chills or hot flashes
Fear of losing control or going crazy
Fear of dying

1. How many panic and limited symptom attacks did you have during the past week?
No panic or limited symptom episodes
Mild: no full panic attacks and no more than 1 limited symptom attack/day
Moderate: 1 or 2 full attacks and/or multiple limited symptom attacks/day
Severe: more than 2 full panic attacks but not more than 1/day on average
Extreme: full panic attacks occurred more than once a day, more days than not
 
2. If you had any panic attacks during the past week, how distressing (uncomfortable and frightening) were they while they were happening? (If you had more than one, give an average rating. If you didn’t have any panic attacks but did have limited symptom attacks, answer for the limited symptom attacks.)
Not at all distressing, or no panic or limited symptom attacks during the past week
Mildly distressing (not too intense)
Moderately distressing (intense, but still manageable)
Severely distressing (very intense)
Extremely distressing (extreme distress during all attacks)
 
3. During the past week, how much have you worried or felt anxious about when your next panic attack would occur, or about fears related to the attacks? (For example, that they could mean you have physical or mental health problems, or could cause you social embarrassment?)
Not at all
Occasionally or only mildly
Frequently or moderately
Very often or to a very disturbing degree
Nearly constantly and to a disabling extent
 
4. During the past week, were there any places or situations (e.g., public transportation, movie theaters, crowds, bridges, tunnels, shopping malls, being alone, etc.) you avoided, or felt afraid of (uncomfortable in, wanted to avoid or leave), because of fear of having a panic attack? Are there any other situations that you would have avoided or been afraid of if they had come up during the week, for the same reason? If yes to either question, please rate your level of fear and avoidance this past week.
None: no fear or avoidance
Mild: occasional fear and/or avoidance, but I could usually confront or endure the situation. There was little or no modification of my lifestyle due to this
Moderate: noticeable fear and/or avoidance, but still manageable. I avoided some situations but I could confront them with a companion. There was some modification of my lifestyle because of this, but my overall functioning was not impaired
Severe: extensive avoidance. Substantial modification of my lifestyle was required to accommodate the avoidance, making it difficult to manage usual activities
Extreme: pervasive disabling fear and/or avoidance. Extensive modification in my lifestyle was required, such that important tasks were not performed
 
5. During the past week, were there any activities (e.g., physical exertion, sexual relations, taking a hot shower or bath, drinking coffee, watching an exciting or scary movie, etc.) that you avoided, or felt afraid of (uncomfortable doing, wanted to avoid or stop), because they caused physical sensations like those you feel during panic attacks or that you were afraid might trigger a panic attack? Are there any other activities that you would have avoided or been afraid of if they had come up during the week, for the same reason? If yes to either question, please rate your level of fear and avoidance of those situations this past week.
None: no fear or avoidance because of distressing physical sensations
Mild: occasional fear and/or avoidance, but I could usually confront or endure with little distress activities that cause physical sensations. There was little or no modification of my lifestyle due to this
Moderate: noticeable fear and/or avoidance, but still manageable. There was definite, but limited, modification of my lifestyle such that my overall functioning was not impaired
Severe: extensive avoidance. There was substantial modification of my lifestyle or interference in my functioning
Extreme: pervasive and disabling avoidance. There was extensive modification in my lifestyle due to this, such that important tasks or activities were not performed
 
6. During the past week, how much did the above symptoms altogether (panic and limited symptom attacks, worry about the attacks, and fear of situations and activities because of attacks), interfere with your ability to work or carry out your responsibilities at home? (If your work or home responsibilities were less than usual this past week, answer how you think you would have done if the responsibilities had been usual.)
No interference with work or home responsibilities
Slight interference with work or home responsibilities, but I could do nearly everything I could if I didn’t have these problems
Significant interference with work or home responsibilities, but I could still manage to do the things I needed to
Substantial impairment in work or home responsibilities; there were many important things I couldn’t do because of these problems
Extreme, incapacitating impairment, such that I was essentially unable to manage any work or home responsibilities
 
7. During the past week, how much did panic and limited symptom attacks, worry about the attacks, and fear of situations and activities because of attacks, interfere with your social life? (If you didn’t have many opportunities to socialize this past week, answer how you think you would have done if you did have opportunities.)
No interference with social activities
Slight interference with social activities, but I could do nearly everything I could if I didn’t have these problems
Significant interference with social activities, but I could still manage to do most things if I made the effort
Substantial impairment in social activities; there were many social things I couldn’t do because of these problems
Extreme, incapacitating impairment, such that there was hardly anything social I could do
 


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