Patient presents with symptoms consistent with Generalized Anxiety Disorder (GAD) with Panic Attacks.  The patient reports excessive worry and anxiety occurring more days than not for the past eight months, exceeding typical levels for situational stressors.  Worry themes include work performance, family health, and financial stability.  The patient describes difficulty controlling the worry, experiencing associated symptoms such as muscle tension, restlessness, irritability, fatigue, difficulty concentrating, and sleep disturbance.  Additionally, the patient reports recurrent unexpected panic attacks characterized by sudden intense fear, palpitations, shortness of breath, chest pain, dizziness, and fear of losing control or dying.  These panic attacks are not triggered by a specific situation and are followed by persistent concern about additional attacks and their implications.  The patient denies substance abuse and medical conditions that could account for these symptoms.  Symptoms significantly impair the patient's occupational and social functioning, meeting DSM-5 diagnostic criteria for Generalized Anxiety Disorder with Panic Disorder.  Differential diagnosis considered and ruled out Major Depressive Disorder, specific phobia, and other anxiety disorders.  Treatment plan includes initiation of cognitive behavioral therapy (CBT) targeting anxiety management and panic control techniques, along with pharmacotherapy with a selective serotonin reuptake inhibitor (SSRI) for symptom management.  Patient education provided regarding GAD, panic disorder, treatment options, and expected outcomes.  Follow-up scheduled in two weeks to assess treatment response and adjust plan as needed.  ICD-10 code F41.1 Generalized Anxiety Disorder and F41.0 Panic Disorder assigned.  Medical billing codes for evaluation and management, psychotherapy, and pharmacotherapy will be applied accordingly.