N.M. is a 34-year-old Asian male presenting for evaluation of anxiety. He reports ineffective treatment with sertraline and was referred by his PCP. A thorough psychiatric evaluation is conducted, including chief complaint, history of present illness, past psychiatric history, substance use history, family history, social history, medical history, physical exam, diagnostic results, and mental status exam. Differential diagnoses are considered and the primary diagnosis of Generalized Anxiety Disorder is selected based on diagnostic criteria. Reflection on the case discusses agreement with the assessment, what was learned, and considerations around legal/ethics, health promotion, and prevention based on patient factors.