Panic/Agoraphobia

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1. Complains of unexpected, sudden, debilitating panic symptoms (e.g., shallow breathing, sweating, heart racing or pounding, dizziness, depersonalization or derealization, trembling, chest tightness, fear of dying or losing control, nausea) that have occurred repeatedly, resulting in persisting concern about having additional attacks. 

2. Demonstrates marked avoidance of activities or environments due to fear of triggering intense panic symptoms, resulting in interference with normal routine. 

3. Acknowledges a persistence of fear in spite of the recognition that the fear is unreasonable.

4. Increasingly isolates self due to fear of traveling or leaving a “safe environment” such as home.

Avoids public places or environments large groups of people such as malls or big stores.