Panic attack symptoms must include at least how many specific symptoms for a diagnosis?

For a diagnosis of a panic attack, at least four specific symptoms must be present. These symptoms typically manifest suddenly and peak within a short period, usually within 10 minutes. The diagnostic criteria outlined by various clinical guidelines, including the DSM-5, specify that this threshold is necessary for a panic attack diagnosis. Symptoms may include palpitations, sweating, trembling, shortness of breath, feelings of choking, chest pain, nausea, dizziness, derealization or depersonalization, fear of losing control or "going crazy," and fear of dying. Meeting the criterion of four symptoms helps ensure the diagnosis reflects a significant and distressing experience, distinguishing it from other related anxiety disorders or transient episodes of anxiety that may not meet the full criteria for a panic attack.