Sam is a fifty-year-old man who comes to the social agency complaining of a general feeling of nervousness and anxiety. The symptoms began about 8 months ago and have occurred almost daily since then. The anxiety seems pervasive and not limited to any particular situation. He complains of feeling restless and is easily tired, though he is unable to sleep easily and wakes up frequently during the night. His work has suffered as her finds that he has difficulty concentrating and staying with his tasks. He has no history of serious emotional difficulties and this is the first time that he has ever sought assistance. The anxiety is associated with heart palpitations, shortness of breath and increased perspiration. The most likely diagnosis is

A. post-traumatic stress disorder.
B. generalized anxiety disorder.
C. substance induced anxiety disorder.
D. somatization disorder.


B. generalized anxiety disorder.

The cluster of symptoms fits the definition of a generalized anxiety disorder. There is no evidence of substance abuse and serious trauma is not mentions (such as victimization or recent immigration from a war zone or flashbacks). A somatization disorder would require more serious and continuous symptoms.

Social Work & Human Services

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