{
  "assessmentTests": {
    "panic_disorder_screener": {
      "name": "Panic Attack Check-In",
      "desc": "This check-in explores patterns often associated with panic disorder — recurrent panic attacks, the physical and cognitive symptoms that come with them, worry about future attacks, and any changes you've made to avoid situations where an attack might happen.",
      "recommendation": "Your panic attack profile",
      "questions": [
        {
          "question": "I experience sudden waves of intense fear or physical discomfort that peak within just a few minutes, seemingly out of nowhere.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "My episodes of intense fear come on so fast that I'm already in the middle of one before I realize what's happening.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've had an intense fear episode while doing something completely ordinary, like sitting at my desk or watching TV.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Once a wave of panic starts, it feels like it takes on a life of its own and I can't simply reason my way out of it.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I have repeated episodes of sudden, intense fear that aren't triggered by any specific danger I can point to.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "During an episode, my heart pounds or races so hard I can feel it in my chest or throat.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I break out in a sweat or feel shaky and trembly during an episode, even when I haven't been physically active.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel short of breath or like I can't get enough air when the fear hits.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "During the worst moments, I feel dizzy, lightheaded, or unsteady on my feet.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "In the middle of an episode, I've felt like I might be losing control, going crazy, or even dying, even though I know that isn't really happening.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I spend a lot of time worrying about when my next episode of intense fear might strike.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel on edge in between episodes, bracing myself for the next one to happen.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I worry that having an episode in public would be embarrassing or that people would think something is seriously wrong with me.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "The fear of having another episode is almost as distressing to me as the episodes themselves.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've worried that my physical symptoms during an episode mean I have a serious undiagnosed medical condition.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I avoid certain places or situations because I'm afraid I might have an episode there and not be able to get help or leave easily.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've turned down plans, skipped events, or left places early because I was worried about having an episode.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I prefer to have someone else with me in situations where I'm worried about panicking, like driving, shopping, or using public transport.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've changed my daily routine — where I go, how I get there — specifically to reduce my chances of having an episode.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I avoid exercise or other activities that make my heart race, because the physical sensations remind me of an episode.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        }
      ],
      "dimensions": {
        "panic_attacks": {
          "name": "Recurrent Panic Attacks",
          "desc": "Measures how often you experience discrete, sudden episodes of intense fear that peak within minutes.",
          "high": "A high score here suggests you're having repeated, discrete episodes of intense fear that come on quickly and peak fast — often without an obvious trigger. This pattern, recurrent unexpected panic attacks, is the core feature of panic disorder in DSM-5, and it is very different from a chronic, low-grade worry — it's a sudden alarm response your body is setting off on its own.",
          "low": "A low score suggests you rarely, if ever, experience sudden discrete episodes of intense fear that come out of nowhere.",
          "icon": "⚡",
          "science": "Recurrent unexpected panic attacks are the defining feature of panic disorder in DSM-5 (American Psychiatric Association, 2013)."
        },
        "physical_symptoms": {
          "name": "Physical & Cognitive Symptoms",
          "desc": "Measures how strongly your body and mind react during an episode — racing heart, breathlessness, dizziness, and fear of losing control.",
          "high": "A high score suggests your episodes come with a strong physical and mental component — a racing heart, shortness of breath, dizziness, and sometimes a frightening sense that you're losing control or that something is medically wrong. These sensations are real and intense, but they're the body's alarm system firing, not evidence that the alarm is correct — most people who feel this way are not, in fact, having a heart attack or losing their mind.",
          "low": "A low score suggests you rarely notice strong physical or cognitive symptoms during moments of fear.",
          "icon": "💓",
          "science": "The physical and cognitive symptom cluster (racing heart, breathlessness, derealization, fear of dying or losing control) is drawn directly from DSM-5 panic attack criteria (American Psychiatric Association, 2013)."
        },
        "anticipatory_anxiety": {
          "name": "Anticipatory Anxiety",
          "desc": "Measures how much you worry, between episodes, about when the next one might happen.",
          "high": "A high score suggests you spend real time and energy bracing for the next episode — worrying about when it will strike, what it means, or how others would react if it happened in front of them. This anticipatory worry is itself a diagnostic feature of panic disorder, not just a side effect, and it's often what drives the avoidance patterns below.",
          "low": "A low score suggests you don't spend much time worrying about future episodes between them.",
          "icon": "⏳",
          "science": "Persistent concern about additional attacks or their consequences, lasting a month or more, is one of the two defining features that distinguish panic disorder from an isolated panic attack (American Psychiatric Association, DSM-5, 2013; Kessler, R.C. et al., 2006, Archives of General Psychiatry, 63(4), 415-424)."
        },
        "avoidance_behavior": {
          "name": "Avoidance & Agoraphobic Behavior",
          "desc": "Measures how much you've changed your routines, plans, or movements to reduce the chance of an episode.",
          "high": "A high score suggests panic has started to shape your daily choices — which places you go, whether you travel alone, which activities you avoid. This kind of significant behavior change is the second defining feature of panic disorder alongside the attacks themselves, and when it generalizes to avoiding many places or needing an escape route, it can shade into agoraphobia.",
          "low": "A low score suggests fear of a future episode hasn't meaningfully changed your routines or plans.",
          "icon": "🚪",
          "science": "Significant maladaptive behavior change related to the attacks (avoidance) is the second defining diagnostic feature of panic disorder in DSM-5 (American Psychiatric Association, 2013); its link to agoraphobia is documented in Kessler, R.C. et al. (2006), Archives of General Psychiatry, 63(4), 415-424."
        }
      },
      "results": {
        "minimal": {
          "name": "Minimal Panic Symptoms",
          "desc": "Your responses suggest sudden, discrete episodes of intense fear aren't a significant pattern for you right now. You may still feel stressed or anxious sometimes — that's normal — but the sudden, out-of-nowhere quality of a panic attack doesn't seem to be part of your experience.",
          "recommendation": "Nothing here points to panic disorder. If that ever changes — sudden waves of fear that peak fast and feel physical — it's worth naming early rather than dismissing."
        },
        "mild": {
          "name": "Mild Panic Symptoms",
          "desc": "Your responses suggest you've had some episodes of sudden, intense fear or physical discomfort, and maybe a bit of worry about them happening again. For a lot of people, an occasional panic attack happens during a stressful stretch of life and settles on its own — it doesn't automatically mean panic disorder.",
          "recommendation": "It can help to learn simple grounding and slow-breathing techniques for the moment an episode starts, and to notice whether the worry about 'the next one' is growing. If episodes keep happening or the worry starts shaping your choices, it's worth a conversation with a doctor or therapist."
        },
        "moderate": {
          "name": "Moderate Panic Symptoms",
          "desc": "Your responses suggest a pattern of recurring panic-like episodes along with real worry about when the next one might strike, and possibly some avoidance building up around it. If you've ever felt, mid-episode, like you were having a heart attack or losing your mind — that reaction is extremely common, and it does not mean either of those things is actually happening.",
          "recommendation": "This pattern is worth bringing to a doctor first, to rule out any physical cause for the symptoms, and then to a therapist. Cognitive Behavioral Therapy (CBT) with an interoceptive-exposure component is the leading evidence-based treatment for panic disorder, and most people see real improvement with it."
        },
        "severe": {
          "name": "Significant Panic Symptoms",
          "desc": "Your responses suggest panic attacks, anticipatory fear, and avoidance are showing up often enough to be shaping your daily life — where you go, what you do, who you're with. Living with this can be frightening and exhausting, especially if you've spent moments genuinely afraid you were dying or losing control. That fear is one of the most common experiences people with panic disorder describe, and panic disorder is one of the most treatable anxiety conditions there is.",
          "recommendation": "We'd encourage you to talk with a doctor soon (to rule out any physical cause) and a therapist experienced in treating panic disorder. Cognitive Behavioral Therapy (CBT) with interoceptive exposure has strong evidence behind it, and medication can help too when combined with therapy. If you ever feel unsafe or in crisis, contact a crisis line or emergency services in your area."
        }
      }
    }
  },
  "testNames": {
    "panic-disorder-screener": "Panic Attack Check-In"
  }
}