A 42-year-old female accountant presents with excessive worry, muscle tension, difficulty concentrating, and insomnia that began approximately 4 months ago after her company announced upcoming layoffs. She reports she has always been a 'worrier' but acknowledges that for the past several years she has also worried excessively about her children's safety, her health, finances, and her marriage, even when there were no specific stressors. She states the layoff announcement has made everything worse.