Mildred is a 45-year-old married female with three children. Shepresents to you with complaints of fatigue and difficulty sleeping.She states she wants to get a good night’s sleep and is requestinga prescription to help her sleep. Mildred tells you she is awakeoff and on during the night, frequently thinking about herhusband’s recent layoff from construction work and the effect thisis having on the family. She lies down often during the day and hasbeen so fatigued that she took some time off from work during thelast two weeks. She is tearful at times during the visit and lookssad and anxious. On further discussion, she says she feelsoverwhelmed, helpless, and anxious. She tells you about an episodewhere she felt her heart beating rapidly, had difficulty catchingher breath, felt she was going to have a heart attack, and becamefrightened until her husband was able to help calm her down. She isnot eating as much as usual, and when she reads the newspaper, shedoes not remember what she has read. What is the workingdiagnosis?
