Question

Ms. Johnson is a 24-year-old law student who presents to an outpatient

psychiatry clinic accompanied by her husband. She feels

"worried about everything!" She is "stressed out" about her academic

workload and upcoming exams. She feels fatigued and has difficulty

concentrating on her assignments. She also complains of frequent headaches

and associated neck muscle spasms, as well as difficulty falling asleep.

The patient's husband describes her as "a worrier. She'll worry about me

getting into an accident, losing my job, not making enough money-the

list goes on and on ." He continued to express that she worries about multiple events in her life.

Ms. Johnson reports that she has always had some degree of anxiety, but

previously found that it motivated her. Over the last year, her symptoms

have become debilitating and beyond her control.

What is the most likely diagnosis? Please explain your answer.