ABSTRACT

A 40-year-old woman presents to her general practitioner (GP) complaining of feeling tired and ‘washed-out’. She has had difficulty getting off to sleep for about 4 weeks, but has felt restless during the day. Straightforward, everyday tasks have become a challenge and sometimes provoke a dry mouth and churning stomach, but she occasionally feels tearful. The GP is aware that the woman’s mother died 3 months prior to the presentation. The patient describes no thoughts of self-harm.