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Generalized anxiety disorder
92%
93/101
Social phobia
0%
0/101
Adjustment disorder
1%
1/101
Panic disorder
4%
4/101
Obsessive-compulsive disorder
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The patient in this vignette most likely has generalized anxiety disorder (GAD), defined by anxiety over 6 months not due to a specific situation or stressor. Symptoms of GAD included sleep disturbance, fatigue, difficulty concentrating, autonomic hyperactivity, motor excitation, being jumpy or fidgety, and constant surveillance or vigilance. This condition can be debilitating without proper treatment. Incorrect Answers: Answer 2: Social phobia is the exaggerated fear of embarrassment/shame in social situations that interferes with normal function. Answer 3: Adjustment disorder lasts less than 6 months and is due to an identifiable psychosocial trauma. Answer 4: Panic disorder is the presence of 3 panic attacks in 3 weeks and characterized by the persistent fear of having another attack, which may precipitate the attack. Answer 5: Obsessive compulsive disorder involves recurring, intrusive thoughts that cause severe distress and impairment (obsessions) resulting in the performance of repetitive actions to shield person from obsessions (compulsions).
4.4
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