Sections View Full Chapter Figures Tables Videos Full Chapter Figures Tables Videos Supplementary Content ++ Key Features ++ More likely to present after the onset of puberty with a prevalence rate of 2–3% during adolescence Unlike many other anxiety disorders, there is more likely to be a stressor preceding the onset of panic disorder Children who experience separation anxiety disorder are at increased risk for panic disorder ++ Clinical Findings ++ Palpitations, sweating, shortness of breath, choking, chest pain or tightness Gastrointestinal distress Dizziness Chills or heat, numbness, or tingling Cognitive symptoms can include feelings of unreality, fear of going crazy, or of dying ++ Diagnosis ++ To meet criteria for a panic attack, at least four of the above symptoms must be present Youth are most likely to present to the pediatrician with fears related to physical symptoms of autonomic arousal, such as a fear that there is something wrong with their heart ++ Treatment ++ Cognitive behavioral therapy focuses on the cognitions associated with the panic attack as well as the physiologic distressing symptoms Exposure targets may include situations that trigger panic attacks or some of the physiologic symptoms experienced during an attack Patients who do not respond to therapy alone may benefit from a selective serotonin reuptake inhibitor (SSRI) GET ACCESS TO THIS RESOURCE Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Username? Forgot Password? Sign in via OpenAthens Sign in via Shibboleth Get Free Access Through Your Institution Contact your institution's library to ask if they subscribe to McGraw-Hill Medical Products. Access My Subscription GET ACCESS TO THIS RESOURCE Subscription Options Pay Per View Timed Access to all of AccessPediatrics 24 Hour $34.95 (USD) Buy Now 48 Hour $54.95 (USD) Buy Now Best Value AccessPediatrics Full Site: One-Year Individual Subscription $595 USD Buy Now View All Subscription Options