High scores indicate clients are complaining of tension, difficulty relaxing, indecisiveness, and apprehension. Additional complaints include a highly sensitive startle response, hyperalertness, and fears related to the onset of poorly defined difficulties. Physiological complaints related to overarousal are also common. These might include insomnia, headaches, nausea, cold sweats, upset stomach, palpitations, excessive perspiration, and muscular aches. Anxiety may be either generalized or more focused, as in social situations or specific phobias. Inspection of responses to individual scale items can help to assess the degree of specificity of the anxiety.