A nurse on a mental health unit is leading a group therapy session for a group of clients. Which of the following statements should the nurse expect from a client who has an anxiety disorder?

A. "I check my breasts for lumps every day, but I'm still really scared about getting breast cancer." This statement suggests illness anxiety disorder (formerly hypochondriasis), where a person is excessively worried about having a serious illness despite medical reassurance. While anxiety is present, this condition is classified separately from generalized anxiety disorder or other common anxiety disorders. B. "I have had several negative pregnancy tests, but I know they are all wrong." This response indicates delusional thinking, which is more characteristic of a psychotic disorder such as delusional disorder rather than an anxiety disorder. People with anxiety disorders typically have excessive worry but remain in touch with reality. C. "I double-check my pills because I think the pharmacist may be putting poison in them." This statement reflects paranoia and persecutory delusions, which are more commonly seen in psychotic disorders such as schizophrenia or paranoid personality disorder. Anxiety disorders typically do not involve persistent false beliefs of being harmed. D. “I feel really nervous when my partner goes to work, and I am home alone during the day.” This statement reflects excessive worry and fear, which are key features of anxiety disorders. The fear of being alone may indicate generalized anxiety disorder or separation anxiety, both of which fall under the category of anxiety disorders.