DL is a 17-year-old female presenting to her primary care provider for her annual exam. She reports “not feeling well” recently, complaining of almost daily debilitating headaches and moderate abdominal pain before school. She is very concerned about her health and is worried she has cancer or “some other horrible disease.” She is concerned about school, as her grades have been dropping. She states she is having difficulty sleeping and concentrating in class and is almost constantly worrying about things such as her health, what she wants her major to be in college, and if her parents will have enough money to keep their home. DL reports not being able to stop thinking about her worries.