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32-year-old woman comes to the psychiatrist with a chief complaint of anxiety. She notes that she worries about paying the mortgage on time, whether or not she will get stuck in traffic and be late for appointments, her husband‟s and daughter‟s health, and the war in Iraq. She notes that she has always been anxious, but since the birth of her daughter 2 years ago, the anxiety has worsened to the point that she feels she cannot function as well as she did previously.
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A 23-year-old woman comes to the psychiatrist because she “cannot get out of the shower." She tells the psychiatrist that she has been unable to go to her job as a secretary for the past 3 weeks because it takes her at least 4 hours to shower. She describes an elaborate ritual in which she must make sure that each part of her body has been scrubbed three times, in exactly the same order each time. She notes that her hands are raw and bloody from all the scrubbing. She states that she hates what she is doing to herself but becomes unbearably anxious each time she tries to stop. She notes that she has always taken long showers, but the problem has been worsening steadily for the past 5 months. She denies problems with friends or at work, other than the problems that currently are keeping her from going to work. Which of the following is the most likely diagnosis?
year-old business executive sees her physician because she is having difficulty in her new position, as it requires her to do frequent public speaking. She states that she is terrified she will do or say something that will cause her extreme embarrassment. The patient says that when she must speak in public, she becomes extremely anxious and her heart beats uncontrollably. Based on this clinical picture, which of the following is the most likely diagnosis?
34-year-old man comes to see a psychiatrist because he has been fired for constantly being late to his job. The man states that he feels as if he is in danger of contamination from germs and as a result, he must take showers continuously, often for as many as 8 hours/day. Which of the following transmitters is thought to be involved in this disorder?
A 23-year-old woman arrives at the emergency room complaining that, out of the blue, she had been seized by an overwhelming fear associated with shortness of breath and a pounding heart. These symptoms lasted for approximately 20 minutes, and while she was experiencing them, she feared that she was dying or going crazy. The patient has had four similar episodes during the past month, and she has been worrying that they will continue to recur. Which of the following is the most likely diagnosis?
A 34-year-old secretary climbs 12 flights of stairs every day to reach her office because she is terrified by the thought of being trapped in the elevator. She has never had any traumatic event occur in an elevator; nonetheless, she has been terrified of them since childhood. Which of the following is the most likely diagnosis?
Which of the following is the treatment of choice for the patient described in the previous vignette?
A 28-year-old business executive sees her physician because she is having difficulty in her new position, because it requires her to do frequent public speaking. She states that she is terrified she will do or say something that will cause her extreme embarrassment. The patient says that when she must speak in public, she becomes extremely anxious and her heart beats uncontrollably Other than in these performance situations, she does not find herself anxious generally. Based on this clinical picture, which of the following medications is likely to be the best choice for this patient?
24-year-old woman comes to the psychiatrist with a 2month history of short episodes of “feeling like I am going to die.” During these episodes, she also notes feelings of dizziness and nausea, along with a feeling of choking. She describes these episodes as very frightening and she is terrified of having another. She denies substance use or any medical problems. Which of the following treatment regimens should be started?
An anxiety disorder is:
Specific phobias are defined as:
Which of the following physical symptoms are associated with Panic attacks?
Generalized Anxiety Disorder (GAD) is a pervasive condition in which the sufferer experience
InObsessive Compulsive Disorder (OCD) compulsions are generally thought to be which of to the following:
Which of the following is considered to be a symptom of Post-Traumatic Stress Disorder (PTSD):
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