Problem:
Summarize: Adjustment disorder with anxiety (F43.22): This 29-year-old female presents with moderate anxiety symptoms (GAD-7 = 12) that developed over the past several weeks in direct response to identifiable psychosocial stressors - starting a new job and school simultaneously while being a single mother of a 3-year-old. Symptoms include constant worry, difficulty sleeping, feeling overwhelmed, difficulty concentrating, irritability, muscle tension, and occasional upset stomach. These symptoms began within 3 months of the stressor onset and are causing functional impairment (poor sleep, difficulty concentrating at work and school, inability to engage in self-care). PHQ-9 is 5 (mild), indicating no major depressive episode. C-SSRS is negative. The patient has no prior psychiatric history, no panic attacks, and good insight into the connection between her stressors and symptoms. This presentation is most consistent with adjustment disorder with anxiety rather than generalized anxiety disorder, as symptoms are clearly tied to identifiable stressors and have been present for only several weeks. If symptoms persist beyond 6 months after the stressor resolves, the diagnosis will need to be reconsidered. Need Assignment Help?