-Patient reports feelings of anxiety and worry
-Experiencing disturbed sleep patterns for the past two weeks
-Reports of low mood and irritability
-Discussion of stress factors at work and personal life

-Vital signs are stable with BP 120/80, Pulse 72, Temp 98.6°F
-Patient appears well-groomed but anxious
-Diagnosed previously with generalized anxiety disorder (GAD)
-Patient's responses indicate high stress levels

-Patient continues to meet the criteria for GAD
-The intensity of symptoms appears to have escalated compared to the previous session
-Recommendation for mental health screening

-Continue current medicinal plan
-Suggestion to start cognitive-behavioural therapy (CBT)
-Refer to specialist for counselling
-Schedule follow-up appointment in two weeks