ABSTRACT

Angela is 17 years old. She has a history of “anxiety since childhood” and panic attacks since the age of 14. Her physical symptoms include breaking into a cold sweat, being chilled to the bone, feeling jittery, having a racing heart, and feeling like she wants to run away but does not know where to run. She has continued to go to school but oft en must go to the nurse’s offi ce to lie down because of the anxiety she experiences. She is reluctant to go places alone and has discontinued her social interactions and aft er school activities. She is seeking treatment now because she wants to attend an out-of-state college next year and is concerned that when the time comes, she will not be able to leave home.