Certified Advanced Alcohol and Drug Counselor (CAADC) Practice Exam

A key characteristic of Panic Disorder without Agoraphobia is the presence of recurrent and unexpected panic attacks. This disorder is primarily defined by the occurrence of these intense episodes of fear or discomfort, which can manifest with physical symptoms such as heart palpitations, sweating, shaking, and feelings of choking. The attacks are unpredictable and not triggered by specific situations or external circumstances, which distinguishes this condition from other anxiety disorders.

The absence of agoraphobia is also crucial in this context, as individuals with Panic Disorder without Agoraphobia do not experience the intense fear of places or situations that might cause them to panic or feel trapped. This element is specifically excluded in the diagnosis, setting it apart from similar conditions where agoraphobia is a factor. Additionally, any panic attacks that arise are not due to the effects of a general medical condition, which further supports the diagnosis. Therefore, the defining factor lies in the occurrence of recurrent and unexpected panic attacks.