NSAIDs nonsteroidal antiinflammatory drugs SNRIs serotonlnnorepinephrine reuptake inhibitors SSRls selective serotonin reuptake inhibitors ICAs tricyclic antidepressants

Patient Encounter l, Part l

AX, a 27-year-old African American woman, presents to your clinic with GI complaints (e.g., constipation, bloating, and cramping) and fatigue. She is a single mother of three (ages 2, 3, and 6 years) and is a full-time college student. She states that she worries about everything: her grades, finances, the 6-year-old riding the school bus, etc. She states that "even if it's not important, I still worry." She has difficulty sleeping and says that she often feels like she might jump out of her skin. On one occasion she felt like she might be having a "heart attack or something."

What manifestations described above are suggestive of an anxiety disorder?

What additional information do you need to establish a diagnosis and develop a treatment plan?

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