55-year-old Man in Medicine / Internal Medicine — 55yo Man | Psychiatry | SMLE Q#11196
SMLE Question #11196
Medicine / Internal Medicine
Psychiatry
Objective: OBJ-253
Last updated: February 2026
A 55-year-old man reports 8 months of excessive, hard-to-control worry about work performance and finances occurring most days. He is irritable, restless, fatigued, and has difficulty concentrating. He has difficulty initiating and maintaining sleep and reports decreased libido and erectile difficulty. He denies persistent low mood, anhedonia, feelings of worthlessness, or suicidal thoughts. He has no history of panic attacks, specific social fears, substance use, major medical illness, or an identifiable recent stressor. What is the most likely diagnosis?
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