Patient presents with symptoms consistent with an Unspecified Anxiety Disorder (UAD), meeting some but not all criteria for specific anxiety disorders as per DSM-5 criteria.  The patient reports excessive anxiety and worry occurring more days than not for the past several months.  The patient describes the worry as difficult to control and related to various aspects of daily life, including work performance, family relationships, and financial stability.  Symptoms include restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and sleep disturbance.  The patient denies panic attacks, specific phobias, obsessive-compulsive symptoms, or traumatic events.  Symptoms cause clinically significant distress and impairment in social and occupational functioning.  Differential diagnoses considered include Generalized Anxiety Disorder, Adjustment Disorder with Anxiety, and medical conditions such as hyperthyroidism.  A thorough review of systems was conducted and physical examination findings were unremarkable.  Laboratory tests were ordered to rule out underlying medical causes.  Initial treatment plan includes Cognitive Behavioral Therapy (CBT) focused on anxiety management techniques and short-term pharmacotherapy with an anxiolytic medication.  Patient education regarding anxiety disorders, coping mechanisms, and medication management was provided.  Follow-up appointment scheduled in two weeks to monitor symptom response and adjust treatment as needed.  ICD-10 code F41.9, Unspecified Anxiety Disorder, is assigned.  Medical necessity for ongoing treatment will be reassessed at subsequent visits.