What are panicles (panic attacks)?

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Last updated: March 27, 2025 • View editorial policy

From the Guidelines

Panic attacks are characterized by a sudden onset and peak of intense fear or discomfort, accompanied by physical and cognitive manifestations such as trembling, dizziness, de-realization, paresthesias, and chills or hot flushes. According to the study by 1, panic attacks have a distinct pattern of symptoms that can be identified by a general practitioner. The study highlights the importance of diagnosing panic attacks accurately, as they can be a symptom of an underlying anxiety disorder.

Key Characteristics of Panic Attacks

  • Sudden onset and peak of intense fear or discomfort
  • Accompanied by physical symptoms such as trembling, dizziness, and chills or hot flushes
  • Cognitive manifestations such as de-realization and paresthesias
  • Can be a symptom of an underlying anxiety disorder, such as panic disorder, which is characterized by recurrent unexpected panic attacks with physical and cognitive manifestations, as defined in the DSM-5 2

Diagnosis and Management

The study by 1 emphasizes the importance of diagnosing panic attacks accurately, and notes that a general practitioner should look for other symptoms such as trembling, dizziness, de-realization, paresthesias, and chills or hot flushes when diagnosing a panic attack. The study also highlights the importance of managing panic attacks effectively, which may involve referral to a cardiologist or other specialist, as well as the use of pharmacotherapy or other treatments.

Importance of Accurate Diagnosis

Accurate diagnosis of panic attacks is crucial, as it can help to identify underlying anxiety disorders and ensure that patients receive appropriate treatment. The study by 2 notes that anxiety disorders, including panic disorder, can have a significant impact on quality of life, and that early identification and treatment can help to improve outcomes.

Treatment Options

Treatment options for panic attacks and underlying anxiety disorders may include pharmacotherapy, such as antidepressants or benzodiazepines, as well as psychotherapy, such as cognitive-behavioral therapy (CBT) 3. The study by 3 notes that CBT can be an effective treatment for panic disorder, particularly when tailored to the individual's cultural and socioeconomic context.

From the Research

Definition of Panicles (Panic Attacks)

There are no research papers to assist in answering this question. The provided studies 4, 5, 6, 7, 8 focus on atopic dermatitis, corticosteroids, and hypersensitivity reactions, but do not mention panicles or panic attacks.

Relevant Information

  • The studies provided discuss various topics related to skin conditions and treatments, but do not address the topic of panicles or panic attacks.
  • None of the studies 4, 5, 6, 7, 8 provide information on the definition, causes, or effects of panicles or panic attacks.

Key Points

  • The provided studies are not relevant to the topic of panicles or panic attacks.
  • Further research would be needed to provide information on this topic, as the current studies do not address it.

References

Guideline

task force on the management of chest pain.

European Heart Journal, 2002

Guideline

clinical practice guideline for the assessment and treatment of children and adolescents with anxiety disorders.

Journal of the American Academy of Child and Adolescent Psychiatry, 2020

Research

Treatment of Eczema: Corticosteroids and Beyond.

Clinical reviews in allergy & immunology, 2016

Research

Prescriptions for atopic dermatitis: oral corticosteroids remain commonplace.

The Journal of dermatological treatment, 2018

Research

Hypersensitivity reactions to corticosteroids.

Clinical reviews in allergy & immunology, 2014

Research

Oral H1 antihistamines as 'add-on' therapy to topical treatment for eczema.

The Cochrane database of systematic reviews, 2019

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.