This article describes the treatment of a 27-year-old female with a particularly challenging manifestation of generalized anxiety disorder (GAD) with prominent worry. A manualized cognitive—behavioral therapy (CBT) protocol, including problem-solving training, cognitive restructuring, and relaxation training techniques, was tailored to the patient’s presenting profile. Several self-report measures administered during the pretreatment, post-treatment, and follow-up periods, including: the Penn State Worry Questionnaire (PSWQ), the Why Worry-II (WW-II), the Ahwaz Worry Inventory (AWI), and the Intolerance of Uncertainty Scale (IUS), indicated significant worry reduction following treatment. Many difficulties were encountered, most notably designing and monitoring homework. Treatment implications are discussed.
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