Nancy, a 45-year-old married lawyer, presented with exacerbation of her chronic generalized anxiety and recurrent depressive symptoms in January 2015.
Nancy had a history of anxiety dating back “as far as I can remember.” She was an anxious young girl with separation anxiety and shyness that manifested in elementary school. As she grew up, she experienced ongoing anxieties about the health of her parents (worrying that her parents would die, even though they were in good health) and her school performance. She remembers marked fears, including fears of the dark and thunder, most of which she “outgrew” except for a persistent fear of insects, particularly spiders.
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