Chief Complaint: Katie Adams is a 19-year-old Caucasian female here and states, “I worry about everything all the time.” “I can’t ever sleep, and I feel anxious and nervous at school and work.” “I cry often for no reason.”
History of Present Illness:
Onset: Following move to out-of-town college, worsening over the past 3 months of being away from home and the stress of transitioning to college.
Location: Heart races, shortness of breath, sweating, headaches, dizzy.
Duration: Daily, lasts 2 to 4 hours then subsides, begins around 10 a.m. before first class starts at 10:30 a.m.
Characteristics: Worsens with attending large size classes, peers and roommates pressure to go out socially and drink, difficulty sleeping, avoids some classes, chest tightness often and shortness of breath.
Aggravating: With increased stress, crowds, when worrying about completing assignments or making good grades.
Relieving: Reading fiction, marijuana, sometimes a beer (1–2), staying in room alone when roommates go out.
Temporal: Worse in morning before classes and worse before bedtime.
Severity: I hate how I feel, it’s horrible.