A 34-year-old woman arrives at the workplace with her spouse for an employment physical. "I'd prefer not be here," the patient replies, "but my job demands labs every two years." She begins to feel uncomfortable, queasy, and short of breath while having her blood drawn, and she comments, "I feel like the room is spinning." According to the patient's husband, she has had such incidents since childhood, beginning with a bike accident in which she sliced her knee and bled heavily. Asthma and type 2 diabetes mellitus require a thorough medical history. The temperature is 36.7 C (98.1 F), the blood pressure is 140/90 mm Hg, the pulse rate is 104 bpm, and the respirations rate is 20 / min. The BMI is 36 kg/m2. P ² Physical examination is significant for anxious demeanor but is otherwise unremarkable. Which of the following is the most likely diagnosis?

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Eductional Objective: Specific phobia is a frequent anxiety condition characterized by high levels of anxiety and panic episodes produced by exposure to a feared stimuli, or the expectation of exposure to a feared stimulus. As a result, these patients make every effort to avoid the phobic stimuli.

A 34-Year-Old Woman Arrives at the Workplace with Her Spouse