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1CASE STUDY ANNACASESTUDY: ANNAWilliam PhillipsSchool of Behavioral Sciences, Liberty UniversityAuthor NoteWilliam PhillipsSchool of Behavioral Sciences, Liberty UniversityI have no known conflict of interest to disclose.Correspondence concerning this article should be addressed to Student NameEmail:waphillips@liberty.eduKey IssuesBiologicalLittle information is given about Anna’s family history and her possible biological issues.She did disclose that she is the primary care taker for her 90 year old mother, and holds to manyof her parents’ Asian traditions, including the need to prevent her mother to go in to a nursinghome. She has also reported trouble sleeping, which has worsened over the past 18 months. Herbody tension has also grown worse, and she reports having headaches three to four times perweek. She was recently prescribed Paxil by her family doctor, but has not seen a decrease insymptoms to date.
2CASE STUDY ANNAPsychologicalAnna is seeking counseling due to her increasing anxiety. She reports worrying for themajority of the day, every day over the past 18 months. Anna has reported that she has alwaysbeen “high strung”, but recently worrying, and anxiety have become a bigger problem. Shereports her mind “racing” and being unable to sit for the past 12 months.SocialAnna’s social life consisted of her former coworkers. She kept in touch with them untilthe last 18 months. She now only regularly talks to two of her friends. Her friends have alsoconfronted her about her worrying and have expressed they enjoyed spending time with her morebefore the increase in her worrying.SpiritualAnna reported being Hindu, and is interested in incorporating her religion’s teachings into counseling.AssessmentThe Beck Anxiety Inventory (BAI) would be the assessment chosen to administer toAnna in order to clarify her diagnosis. The BAI is abrief measure of anxiety with a focus onsomatic symptoms of anxiety (Julian, 2011). The BAI is composed of 21 questions using a 4-point Likert scale, that measures the severity of symptoms the client has experienced over thepast week. The BAI is used in efforts to obtain a purer measure of anxiety that is relatively
3CASE STUDY ANNAindependent of depression (Julian, 2011). The briefness of the test along with the high internalconsistency, makes it a reliable and practical test.Diagnostic ImpressionsAfter considering Anna’s symptoms a diagnosis of Generalized Anxiety Disorder (F41.1)

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