What disorder/s does she have? is prior togan to avoid goingthat something badhe would be unableMore recently, shein the daytime asexposed and vulner-jogged daily, maintainedwork of friends, and had "rplaints."On initial interview, Msshe had been sad for a fewher boyfriend left, but deniing felt worthless, guilty, hopeless, anhe-donic, or suicidal. She said her weightwas unchanged and her sleep was fine.She denied psychomotor changes. Shedid describe significant anxiety, with aBeck Anxiety Inventory score of 28, indicating severe anxiety ne%20fall%202021%20(1).pdf5/8101%Peggy Isaac was a 41-year-old ad-ministrative assistant who was referredfor an outpatient evaluation by her pri-mary care physician with a chief com-plaint of "I'm always on edge." Shelived alone and had never married orhad children. She had never before seenable" walking to the grocery store threeblocks away, so she avoided shopping.After describing that she had figured outhow to get her food delivered, sheadded, "It's ridiculous. I honestly feelsomething terrible is going to happen inone of the aisles and no one will help me;a psychiatrist.Ms. Isaac had lived with her longtimeboyfriend until 8 months earlier, atwhich time he had abruptly ended therelationship to date a younger woman.Soon thereafter, Ms. Isaac began to ago-nize about routine tasks and the possi-so I won't even go in." When in herapartment, she could often relax and en-joy a good book or movie.Ms. Isaac said she had "always been alittle nervous." Through much of kin-dergarten, she had cried inconsolablywhen her mother tried to drop her off.bility of making mistakes at work. Shefelt uncharacteristically tense and fa-tigued. She had difficulty focusing. Shealso started to worry excessively aboutmoney and, to economize, she movedinto a cheaper apartment in a less desir-able neighborhood. She repeatedly soughtShe reported seeing a counselor at age10, during her parents' divorce, because"my mother thought I was too clingy."She added that she had never liked be-ing alone, having had boyfriends con-stantly (occasionally overlapping) sinceage 16. She explained, "I hated being sin-gle, and I was always pretty, so I wasnever single for very long." Neverthe-less, until the recent breakup, she saidshe had always thought of herself as"fine." She had been successful at work,jogged daily, maintained a solid net-work of friends, and had "no real com-reassurance from her office mates andher mother. No one seemed able to help,and she worried about being "too muchof a burden."During the 3 months prior to the eval-uation, Ms. Isaac began to avoid goingout at night, fearing that something badwould happen and she would be unableto summon help. More recently, sheavoided going out in the daytime aswell. She also felt "exposed and vulner-plaints"On initial interview, Ms. Isaac saidshe had been sad for a few weeks afterher boyfriend left, but denied ever hav-2770

Parental separation in childhood is linked to a heightened incidence of severe depression and generalized anxiety disorder in later stages of life or adulthood. The patient has history of childhood experience of parental separation. And all other symptoms along with Beck Anxiety Inventory shows that patient has Anxiety disorder. Diagnosis- Anxiety disorder Definition- Anxiety disorders are a group of mental disorders defined by substantial and uncontrollable emotions of anxiety and fear that considerably affect a person's personal, social, and vocational function. Anxiety can induce cognitive and physical symptoms such as irritability, restlessness, fatigue, elevated heart rate, difficulty concentrating, abdominal pain, chest discomfort, and a number of additional symptoms that differ from person to person. BECK ANXIETY INVENTORY (BAI): The BAI is a scale that is used to assess the intensity of anxiety symptoms. The BAI has 21 self-report questions. The items represent anxiety symptoms such as feeling hot, numbness or tingling, wobbliness in legs, fear of the worst occurring, lightheadedness or dizziness, racing heart or pounding, feeling terrified, uneasy, choking, hands quivering, feeling shaky, fear of losing control, fear of dying, indigestion or stomach pain, feeling scared, faintness, sweating and face flushing. Each item gives the patient four options ranging from no symptom to extreme symptom. With each item, the patient is asked to indicate how he or she experienced in the previous weeks. The questions are assigned a score of 0, 1, 2, or 3. The scale runs from 0 to 63. A overall score of 0–7 is regarded the lowest range, 8–15 is considered mild, 16–25 is regarded moderate, and 26–63 is regarded severe.