A 35-year-old African American woman named Robin sought treatment due to anxiety. Robin is a single with no children. She currently lives alone with her pet goldfish. Robin is the assistant manager at Wal-Mart. She reported that about a year ago, she had a very terrifying episode in which her heart started to race and beat very hard, she could not breathe, she had chest pains, and thought she was having a heart attack. She called 911 and was taken to the emergency room, but there was no evidence of cardiac disorder or respiratory disorders. She was told it was anxiety. The hospital sent her home with a prescription for Xanax. The doctors told her to take it when she started to feel increased anxiety. Since that time, she has had several similar
