A 41-year-old man has developed increasing anxiety over his job performance as a manager of an international corporation. He is Caucasian, holds a master’s of business administration degree, and has a long track record of professional success. Which therapeutic intervention for anxiety is this patient particularly suited for? Cognitive behavioral therapy A 26-year-old woman has developed generalized anxiety disorder over the last year, and she has not benefited from cognitive behavioral therapy. At the time of presentation she is in good physical health and has no psychiatric comorbidities. You decide to treat her with medication. Which of the following would be most appropriate? SSRI or SNRI A 48-year-old man complains of extreme anxiety whenever he visits his parents, and over the last several years he has tried to avoid contact with them. He also fears that he could act in a way that would make his family disapprove of him. Going on actual visits over the last several years has provoked extreme anxiety on each occasion. He realizes the fear is irrational and it impairs his quality of life. He has no history of substance abuse or mental disorder, and no other medical condition that could explain his physiologic symptoms of anxiety. Which of the following is the most likely diagnosis for this patient? Nongeneralized social anxiety disorder A 35-year-old man complains of extreme shyness in social situations that go along with blushing, sweating, and, oftentimes, increased heart rate. He has started to avoid social contact largely because of this anxiety. He also reports missing interactions with friends and family. He shows symptoms of depression and assumes the depression arises from social isolation. Which of the following is the most likely diagnosis for this patient? Generalized social anxiety disorder
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