1. What DSM-5 diagnosis might be considered based on Josephine's presentation? Answer: Josephine’s symptoms align with Generalized Anxiety Disorder (GAD). Her excessive worry about job security, physical symptoms (shortness of breath, trembling), and history of anxiety dating back to college suggest a pattern of chronic anxiety. The focus on potential failure despite her accomplishments is also characteristic of GAD. Possible Panic Disorder... What other differentials did you see? 2. How might her work environment contribute to her symptoms? Answer: Josephine’s work as a software developer, a role that requires high attention to detail and often involves tight deadlines, could exacerbate her anxiety. Additionally, her over-preparation and the expectation to perform without mistakes may intensify her fear of failure, fueling her anxiety cycle. 3. What treatment approaches would be suitable for Josephine? Answer: Cognitive Behavioral Therapy (CBT) would be beneficial for Josephine, focusing on challenging her irrational thoughts around job security and performance. Additionally, mindfulness-based techniques could help her manage physical symptoms. If her anxiety continues to be severe, short-term medication management with SSRIs might also be considered.
1. What DSM-5 diagnosis might be considered based on Josephine's presentation?
Answer: Josephine’s symptoms align with Generalized Anxiety Disorder (GAD). Her excessive worry about job security, physical symptoms (shortness of breath, trembling), and history of anxiety dating back to college suggest a pattern of chronic anxiety. The focus on potential failure despite her accomplishments is also characteristic of GAD. Possible Panic Disorder...
What other differentials did you see?
2. How might her work environment contribute to her symptoms?
Answer: Josephine’s work as a software developer, a role that requires high attention to detail and often involves tight deadlines, could exacerbate her anxiety. Additionally, her over-preparation and the expectation to perform without mistakes may intensify her fear of failure, fueling her anxiety cycle.
3. What treatment approaches would be suitable for Josephine?
Answer: Cognitive Behavioral Therapy (CBT) would be beneficial for Josephine, focusing on challenging her irrational thoughts around job security and performance. Additionally, mindfulness-based techniques could help her manage physical symptoms. If her anxiety continues to be severe, short-term medication management with SSRIs might also be considered.