A 22-year old college student comes for counseling following a visit to a hospital emergency room where he was complaining of chest pain. The medical work-up was negative. During the counseling session the counselor learns that his father recently died of a heart attack (a few weeks ago) while he was away at school, and that he is now experiencing episodes of sudden-onset fear accompanied by symptoms such as a rapid heart rate, sweating, tremors, chest pain, and shortness of breath, and feelings that he is about to die. After a short time, the symptoms subside. In recent days he has been sleeping outside the hospital, fearful that he may not otherwise arrive in time when the symptoms strike. Which is the most likely diagnosis?

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The National Counselor Examination (NCE) is a 200-item multiple-choice examination designed to assess knowledge, skills and abilities determined to be important for providing effective counseling services. The NCE is a requirement for counselor licensure in many U.S. states. It is also one of two examination options for the National Certified Counselor (NCC) certification. Education Requirements: You must hold a counseling degree with at least 48 semester hours or 72 quarter hours of graduate-level coursework from a CACREP-accredited program or a counseling program administered by a... Show more

A 22-year old college student comes for counseling following a visit to a hospital emergency room where he was complaining of chest pain. The medical work-up was negative. During the counseling session the counselor learns that his father recently died of a heart attack (a few weeks ago) while he was away at school, and that he is now experiencing episodes of sudden-onset fear accompanied by symptoms such as a rapid heart rate, sweating, tremors, chest pain, and shortness of breath, and feelings that he is about to die. After a short time, the symptoms subside. In recent days he has been sleeping outside the hospital, fearful that he may not otherwise arrive in time when the symptoms strike. Which is the most likely diagnosis?