A 24-year-old African American female with Adjustment Disorder with Mixed Anxiety and Depressed Mood, Generalized Anxiety Disorder, and Intermittent Explosive Disorder returned for follow-up. She reports ongoing difficulty coping with a recent job loss, which has triggered persistent worry about her financial stability and future. She describes frequent irritability and outbursts of anger, such as yelling at family members over minor issues, followed by feelings of guilt. She denies self-harm or suicidal ideation but admits to avoiding social interactions due to heightened anxiety.
Plans include continuing cognitive-behavioral therapy (CBT) to address anxiety and maladaptive thought patterns, introducing relaxation techniques to manage anger, and exploring problem-solving strategies for life stressors. Follow-up is scheduled in four weeks to evaluate her coping progress and reassess emotional regulation strategies.

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