A client is in the consultation process. She struggles with substance abuse. She has recently become overly concerned with whether or not her medications are being administered properly, her risk of three different cancers, and ruminations over potential side effects from her latest flu vaccine. When she arrives at your office, you find that those same worries now apply to the stock market, her finances, and the safety of her home. While this resembles a diagnosis of _________, on closer look, this feels more like _____________:

  1. Panic Disorder; Generalized Anxiety Disorder
  2. Hypochondriasis; Generalized Anxiety Disorder
  3. Brief Psychotic Disorder; Hypochondriasis
  4. Adjustment Disorder; Brief Psychotic Disorder
Explanation

Answer - B - At first, this client's problem has purely to do with her health issues. Hypochondriasis only covers health issues, while Generalized Anxiety Disorder covers many other anxieties and is much more inclusive, particularly if more than one anxiety is occurring together. While she may have trouble adjusting and from time to time may feel “crazy,” these are not appropriate diagnoses. This will impact the treatment plan.

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