Miss S is a 29 year old divorced mother whose two children attend a local nursery. She was divorced a year ago after her husband, who had had a string of extra-marital affairs, decided to leave her for another woman he had met at work. Soon after the divorce Miss S took a job in a call center in order to make ends meet. Patient complaining of having a lot of headaches. During the consultation she said she had been having difficulty getting off to sleep for the last six months, was irritable, on edge, and found herself shouting at the children frequently. She had recently started experiencing palpitations and a tingling sensation in her hands.
When asked if she felt “stressed”, she said that she spent most of the day worrying about various things, such as whether she was bringing up her children well, whether she would find another partner, and whether she would get “the sack”. She was unable to relax and had difficulty concentrating at work. She was seen by her supervisor at the call center last week who told her that her performance was unacceptable and that if she did not “pull her socks up” she would be sacked.
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