Limited symptom attack
A limited symptom attack, also referred to as a limited symptom panic attack, is a milder, less comprehensive form of panic attack, with fewer than four panic related symptoms being experienced. For example, a sudden episode of intense dizziness or trembling accompanied by fear that something terrible is about to happen. Many people with panic disorder have a mixture of full blown and limited symptom attacks. LSAs often manifest in anxiety disorders, phobias, panic disorder, and agoraphobia. However, experiencing an LSA is not necessarily indicative of a mental disorder. Often persons recovering from or being treated for panic attacks and panic disorder will experience LSAs.
Signs and symptoms
According to the DSM-5-TR, during an LSA, fewer than four of the following symptoms would be experienced, in contrast to a full blown panic attack, which must include four or more symptoms.- Palpitations, pounding heart, or accelerated heart rate
- Sweating
- Trembling or shaking
- Sensations of shortness of breath or smothering
- Feelings of choking
- Chest pain or discomfort
- Nausea or abdominal distress
- Feeling dizzy, unsteady, light-headed, or faint
- Chills or heat sensations
- Paresthesias
- Derealization or depersonalization
- Fear of losing control or "going crazy"
- Fear of dying
Duration