Patient presents with symptoms consistent with Situational Anxiety, also known as Adjustment Disorder with Anxiety.  The patient reports experiencing excessive worry, nervousness, and apprehension specifically related to identifiable stressors.  Onset of symptoms began approximately [timeframe] following [stressor].  Symptoms include [list specific symptoms e.g., difficulty concentrating, irritability, muscle tension, sleep disturbance, fatigue].  The patient denies any history of Generalized Anxiety Disorder or Panic Disorder.  The anxiety symptoms are not attributed to any other medical condition or substance use.  The patient's symptoms are causing clinically significant distress and impairment in social, occupational, or other important areas of functioning, meeting DSM-5 criteria for Adjustment Disorder with Anxiety.  Differential diagnoses considered include Generalized Anxiety Disorder, Panic Disorder, and medical conditions that can mimic anxiety symptoms.  Treatment plan includes short-term psychotherapy focusing on stress management techniques, coping skills development, and cognitive behavioral therapy (CBT).  Patient education provided on anxiety management strategies and relaxation techniques.  Referral to support groups and community resources will be considered.  Follow-up scheduled in [timeframe] to assess treatment response and adjust plan as needed.  ICD-10 code F43.23 (Adjustment disorder with anxiety) is assigned.  CPT codes for psychotherapy sessions will be documented accordingly.