Peggy (41, unmarriaed)
Always on edge
ex ended relationship to date younger women
Peggy began to agonize about tasks
uncharacteristically tense and fatigued
diff focus
worried about money
sought reassurance from office mates and mother
she feels burdensome
she began to avoid going out at night
(worried)
She recent stop going out at day
she avoided shopping
she felt safe in apartment
she saw counselor at 10 bc parents thought she was too clingy
she feared being alone
"hates being single"
always had bf since 16
she does not feel worthless, guilty, suicidal
weight unchanged
no changes in movement
no sleep change
she has a little anxiety
Anxious attachment

• Not wanting to be alone

Nadine (15) Girl

• Long standing shyness (mom)
• Reluctant to say, constant tense
• Anxiety bad for several years
• Episodes of dizziness and crying
• Unable to speak outside of home (or class)
• refused to leave house alone fear of interact
• anxious around other teens
• too nervous to speak to adult neighbors (she used to speak)
• Hard to speak to stranger (fear of humiliation)
• On guard, fear of attack
• felt trapped
• suididal contemplation
• teased as a kid
• peers turned on her
• peers told her "better of commiting suicide"
• Peers hit her, she did not fight back
• lied to mother about being hit
• wanted to switch schools
• sobbed self to sleep
• transfered to specialty arts hs, ancxiety worsened
• felt embarassed about inabilty to develop independence
• spelt weekends in her home
• felt scared to go out
• describes mom as loud, agressive, fighting
• dad worked long hours, shy in social situations, like her