A Clinical Case of Generalized Anxiety Disorder

This article presents the clinical case of a 38-year-old man with generalized anxiety disorder (GAD). “William” reports longstanding excessive and uncontrollable worry about a number of daily life events, including minor matters, his family, their health, and work. In addition, he endorses chronic symptoms of restlessness and irritability, muscle tension, concentration difficulties, and sleep disturbance. In an attempt to cope with his worries, William engages in excessive information and reassurance seeking, particularly with respect to decision making, and he often double-checks even minor tasks. In addition, he engages in procrastination, and avoids spontaneous or unplanned events. Although William describes himself as a born worrier, his GAD symptoms became noticeably problematic over the last several years, subsequent to an increasing number of stressors. Comorbid conditions as well as predisposing and precipitating factors are described in addition to the specific symptom presentation.