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Panic Disorder Outline Panic Disorder Outline Panic Disorder Definition of a Panic Attack (DSM-IV TR) Period of intense fear in the absence of any real danger. At least 4-13 of the following symptoms: Palpitations Sweating Trembling or shaking Shortness of breath Choking sensations Chest pain or discomfort Nausea or abdominal discomfort Dizziness or lightheadedness Derealization.