A 36-year-old woman has excessive worry about work, finances, and family health for 9 months. She has muscle tension, poor sleep, and restlessness.

Question

A 36-year-old woman has excessive worry about work, finances, and family health for 9 months. She has muscle tension, poor sleep, and restlessness. TSH and CBC are normal. She denies panic attacks. Which of the following is the most appropriate next step in management?

Accepted Answer

Start cognitive behavioral therapy or an SSRI

Answer

Treat with antipsychotic medication

Answer

Reassure because symptoms are under 1 year

Answer

Start chronic alprazolam as first-line monotherapy

Answer

Order brain MRI

GAD — USMLE Step 3 MCQ

A 36-year-old woman has excessive worry about work, finances, and family health for 9 months. She has muscle tension, poor sleep, and restlessness. TSH and CBC are normal. She denies panic attacks. Which of the following is the most appropriate next step in management?