Mary M., a 65-year-old woman, was interviewed about anxiety
by her family physician after she presented with concerns about
her memory and voiced a fear that she had Alzheimer's disease.
She admits to being "a worrier" all her life but
does not feel that her previous anxiety had been excessive or problematic.
In the past 3 years, however, she reports spending more time worrying
and finding it more distressing and "difficult to turn
my mind off." This has occurred in the context of caring
for her husband, who has severe cardiac failure and often gets chest pain,
resulting in the need for immediate medical attention at any time
of the day.