Patient reports increased anxiety over the past 3 weeks following work stress. Describes racing thoughts, difficulty sleeping, and physical symptoms including chest tightness and rapid heartbeat. No panic attacks reported. Patient has been using breathing exercises with some relief. Denies suicidal ideation.

Patient appears alert and oriented. Speech is clear and coherent. Mild restlessness observed. Mood appears anxious but stable. No signs of acute distress. Patient engaged well in session and demonstrated good insight into symptoms.

Generalized Anxiety Disorder, mild to moderate severity. Symptoms appear to be triggered by work-related stress. Patient shows good coping strategies and motivation for treatment.

• • Continue cognitive behavioral therapy techniques
• • Practice daily mindfulness exercises (10 minutes)
• • Implement stress management strategies at work
• • Follow up in 2 weeks to assess progress
• • Consider referral to psychiatrist if symptoms worsen