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Acute stress disorder
0%
0/52
Depression
8%
4/52
Generalized anxiety disorder
87%
45/52
Obsessive compulsive disorder
4%
2/52
Post traumatic stress disorder
2%
1/52
Select Answer to see Preferred Response
This patient presenting with significant worries regarding health, school, career, and personal relationships likely has generalized anxiety disorder.Generalized anxiety disorder presents with excessive anxiety related to multiple unrelated issues for 6 or more months. Symptoms include restlessness, sleep disturbance, muscle tension, fatigue, irritability, and trouble focusing. Patients are often distressed with regards to their symptoms even if they may seem minor. Treatment options include cognitive behavioral therapy, SSRIs, and SNRIs. Buspirone is sometimes used as well.Tyrer and Baldwin review the evidence regarding the diagnosis and treatment of generalized anxiety disorder. They discuss how this disease can be treated with cognitive behavioral therapy. They recommend also considering selective serotonin reuptake inhibitors.Incorrect Answers:Answer 1: Acute stress disorder presents with anxiety and post-traumatic stress disorder-like symptoms that occur within 1 month of a life stressor. Treatment is supportive.Answer 2: Depression is the diagnosis when a patient presents with SIGE CAPS symptoms of Sleeplessness, Interest loss, Guilt, Energy changes (fatigue), Concentration changes, Appetite changes, Psychomotor retardation, and Suicidal ideation. This patient's multiple worries/concerns make generalized anxiety disorder a more likely diagnosis. Treatment is with selective serotonin reuptake inhibitors.Answer 4: Obsessive compulsive disorder presents with anxiety-provoking thoughts (obsessions) which are relieved by ritualistic behavior (compulsions). This patient's praying does not necessarily represent a compulsive behavior that is related to his thoughts. While this diagnosis is plausible, the concerns regarding most aspects of his life is more consistent with generalized anxiety disorder. Treatment of obsessive compulsive disorder is with cognitive behavioral therapy.Answer 5: Post-traumatic stress disorder presents with anxiety, stress, and flashbacks to a very stressful event. This patient is not experiencing these symptoms. Treatment is with cognitive behavioral therapy and selective serotonin reuptake inhibitors.Bullet Summary:Generalized anxiety disorder presents with excessive worry and anxiety related to multiple unrelated issues for 6 or more months.
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