1. Diagnosis: generalized anxiety disorder (primary diagnosis) illness anxiety disorder separation anxiety disorder severity rating: 5 additional information: irritable bowel syndrome, celiac disease at age 25, inability to have children2 . Analyzing the case study, the most prominent issue Sara struggles with is her persistent worry about several aspects of her life, including her employment status, health, and relationship with her husband. For the past six months she has been excessively anxious and worried, so much so that she has difficulty sleeping. As he admitted, “I can't turn my brain off anymore, I worry all the time,” so his condition met the primary criteria of generalized anxiety disorder, i.e., excessive worrying for at least 6 months, most days, for different events. and activities. Being restless, irritable, having difficulty sleeping and getting tired easily are four factors of GAD evident in this case. “I have always had a lot of energy but now sometimes I struggle to get out of bed and carry on through the working day for a long time”; indicates the tiredness you have experienced recently. She fiddles with her jewelry when speaking and has a nervous laugh, showing her persistent anxiety. Additionally, she was recently diagnosed with irritable bowel syndrome which has high comorbidity with anxiety disorders. In conclusion, since she is constantly worried about different aspects of her life and meets the criteria for generalized anxiety disorder, generalized anxiety disorder is the disorder she likes best. Regarding the second diagnosis, the reason I believe he has symptoms of illness anxiety disorder, non-somatic symptom disorder, is that he has no severe physical symptoms l...... middle of paper...... hem as a result of his efforts, and then concludes that he has the ability to deal with problems that As mentioned above, one of the characteristics of people with generalized anxiety disorder is cognitive avoidance. To overcome this problem, the therapist could ask Sara to imagine worse problems, not only to break her cognitive barrier but also to change the way she looks at her current situation; for example, asking her to imagine not having a job or having AIDS, and then asking her what the next step is? What will you do? Since one of the most important concerns she has is related to health, she needs to be reassured by a doctor that these symptoms are not dangerous, as well as being aware that she misinterprets these symptoms and these symptoms can be created if she constantly focuses on certain parts of his body.