The patient is a 29 year old female who works

The patient is a 29 year old female who works as a clinical laboratory technologist She first experienced panic attacks (spontaneous) in high school and generalized anxiety disorder symptoms during her first year of college, at a large University, located 2 hours from her parents. She worries about her work performance (despite evaluations that suggest excellent function), worries about her finances, worries about her parents’ health, worries that she may have made errors at work, worries about her co-workers impressions of her and also describes a general sense of dread, noting that she “always worries that the worst things possible will happen.” As an example, she will worry about terrorist attacks, bridges collapsing, being pulled over, etc. She has irritable bowel syndrome for which she takes hyoscyamine 0.125 mg QID PRN abdominal cramping

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