What is NOT a symptom of panic disorder?

The symptom that is not typically associated with panic disorder is extreme fatigue. Panic disorder is characterized by the occurrence of panic attacks, which are sudden periods of intense fear or discomfort that trigger a variety of physical and emotional symptoms. Common symptoms of panic disorder include a racing heartbeat, sweating, and trembling, all of which are physiological responses to the heightened state of anxiety experienced during a panic attack.

Extreme fatigue, on the other hand, is more indicative of other mental health conditions, such as depression, where a person may feel persistently tired or drained. While individuals with panic disorder may experience fatigue due to the emotional toll of repeated panic attacks or anxiety, it is not a hallmark symptom of the disorder itself, unlike the other three options listed. Therefore, recognizing extreme fatigue as a less direct symptom helps to better identify the defining characteristics of panic disorder.