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Am Fam Physician. 2024;109(5):457-458

Related editorial: Anxiety Screening Is Unlikely to Improve Mental Health Outcomes

Related USPSTF Clinical Summary: Screening for Anxiety Disorders in Adults

This clinical content conforms to AAFP criteria for CME.

Author disclosure: No relevant financial relationships.

Case Study

A 34-year-old patient (gravida 2, para 2) presents for a well-woman examination and Papanicolaou smear. She feels healthy and has no significant medical history, aside from her uncomplicated pregnancies, which did not include postpartum depression or anxiety. She reports increased stress at home due to an upcoming move and some difficulty sleeping.

Case Study Questions

1. According to the U.S. Preventive Services Task Force (USPSTF) recommendation, which one of the following is advised for this patient?

  • A. Screen for anxiety disorder.

  • B. Assess her anxiety in 6 months.

  • C. Refer her to an obstetrician-gynecologist for postpartum anxiety screening.

  • D. Recommend melatonin.

  • E. Refer her to a behavioral health professional for sleep management.

2. According to the Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5), which of the following can be categorized as anxiety disorders?

  • A. Generalized anxiety disorder.

  • B. Obsessive-compulsive disorder.

  • C. Separation anxiety disorder.

  • D. Social anxiety disorder.

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This series is coordinated by Joanna Drowos, DO, contributing editor.

A collection of Putting Prevention Into Practice published in AFP is available at

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