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[51] DSM-5 criteria for a panic attack is defined as " an abrupt surge of intense fear or intense discomfort that reaches a peak within minutes and during which time four or more of the following symptoms occur": [51] While some patients go to the emergency department due to their physical symptoms, there is no laboratory or imaging test used to diagnose panic attacks, it is a purely clinical diagnosis (i.e., the doctor uses their experience and expertise to diagnose panic attacks) once other more life-threatening diseases have been ruled out

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