Autonomic Nervous System Questionnaire - Screen for Panic Disorder

Evaluation

Are you screening a patient for panic disorder?

Yes

In the past 6 months has the patient had?

• any spell/attack with sudden onset of fear, anxiety or great unease?

Yes

• any spell/attack associated with heart racing, feeling faint or inability to catch breath for no reason?

Yes

Has the patient had any spell/attack that happened when not in danger or not the center of attention?

Yes

Number of episodes in the past month

Level of worry about another episode

Results

Please fill out required fields.

Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Is the initial screen positive?

Number of additional findings

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Risk Factors for Anxiety in COPD Patient
Clinical Diagnosis, Including Family History For Genetics
- Cardiac Phobia, Cardiac Death Phobia, Cardiac Neurosis and Cardiac Anxiety Disorder
Other Testing
- GAD-7 Instrument for Measuring Generalized Anxiety Disorder
Severity, Prognosis, Stage
- Panic Disorder Severity Scale (PDSS)
Differential Diagnosis And Mimics, Red Flags
- Differential Diagnosis of Osmophobia (Olfactophobia)

Specialty

Psychiatry

Objective

criteria for diagnosis

ICD-10

F40.0 - Agoraphobia
F41.0 - Panic disorder [episodic paroxysmal anxiety]

Autonomic Nervous System Questionnaire (ANS) - Diagnostic Screen for Panic Disorder

Purpose: To screen a patient for panic disorder using the Autonomic Nervous System (ANS) questionnaire.