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A health care provider will perform a physical examination, including blood tests and a psychiatric evaluation. Underlying medical disorders must be ruled out before the diagnosis of panic disorder can be made.
Disorders related to substance abuse should also be considered, because some can mimic panic attacks. Substance abuse may result when individuals with panic attacks attempt to self-medicate to cope with fear.
Cardiovascular, endocrine, respiratory, and neurologic disorders may be suspected and can coexist with panic disorders. Specific diagnostic tests performed will vary and will be based on the symptoms.
Many people with panic disorder first seek treatment in the emergency room, because the panic attack feels like a heart attack.
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