Mental Illness

It is characterized by chronic excessive worry, traditionally described as free-floating anxiety. The subjective experience of worry must also be accompanied by the following symptoms.

Motor tension
o Trembly, twitchy, shaky feeling
o Tense, aching, sore muscles
o Easy fatigability
Vigilance and scanning
o Keyed up on edge feeling
o Exaggerated startle response
o Difficult sleeping
o Concentration problem
o Irritability
...

A 25 year-old Married Insurance Salesman is admitted to the medical service of a hospital when he arrives at the emergency room for the fourth time in a month, insisting that he is having heart attack. The cardiologist work-up is completely negative.

The patient states that his “heart problem” started six months ago when he had sudden episode of terror, chest pain, palpitations, sweating and shortness of breath while driving across bridge on his way. His father and uncle both had heart ...