Screening Tool: Panic Disorder

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This survey is designed to provide a quick assessment of whether you might have problems with panic attacks, a particular type of anxiety. However, no test is 100% accurate. No matter what your score is, you should seek help from a health professional if you have any concerns about yourself or your loved ones.

The questionnaire used here is the two question Autonomic Nervous System (ANS) Questionnaire, developed by Dr. Murray B. Stein and colleagues.

In the past 6 months, did you ever have a spell or an attack when all of a sudden you felt frightened, anxious or very uneasy?

	Yes
	No

In the past 6 months, did you ever have a spell or attack when for no reason your heart suddenly began to race, you felt faint, or you couldn’t catch your breath?

	Yes
	No

For more information about this screening questionnaire:

Stein M: Development of a Brief Diagnostic Screen for Panic Disorder in Primary Care, Psychosomatic Medicine, 61: 359-364 (1999). Retrieved Feb 24, 2011 from http://www.psychosomaticmedicine.org/cgi/content/abstract/61/3/359.