Anxiety Woman Symptoms and Diagnosis

Scenario

A 32-year-old white female is in the office today with a chief complaint “I have to force myself to go to work and other than that I don’t want to leave my house.”
She reports that last week she tried to go to a Pampered Chef party one of her coworkers was having and she only got about three blocks from her house and had to turn around and go back home.

She admits that being anxious is not new for her but feels as though lately those feelings are negatively impacting her life.
Her medical history is inclusive for a diagnosis of psoriasis.
She is married and has a 4-year-old son.
She is presently on no routine medications. She takes an over-the-counter B-50 vitamin to help her manage stress associated with marital strife and childcare challenges secondary to her work schedule.
Her last menstrual period was two weeks ago.
BP 100/58, P 66, R 18
Large raised silvery-white scaly patch noted posterior occipital region of scalp; no thyroid enlargement or tenderness with palpation; heart -regular rate and rhythm; lungs are clear to auscultation

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