38yo woman presents to the office with complaints of weight loss,fatigue, and insomnia of 3 months duration. She feels tired most of the time and frequently does not want to get out of bed. Conversely, she has been staying up late at night because she cannot fall asleep. She feels she is performing poorly at her work as an administrative assistant and states she has trouble remembering things. She does not enjoy going outdoors or being with friends like she used to and avoids social activities. She denies any recent medication, illicit drug, or alcohol use. She feels intense guilt regarding past relationships, believing it was her fault they failed. She states she has never thought of suicide, but has begun to feel increasingly worthless.Her vital signs and general physical examination are benign, except she becomes tearful when discussing her symptoms. Her mental status examination is significant for depressed mood, psychomotor slowing, and poor concentration.PMH: negative. She denies any chronic medical conditions or regular medications or supplements.1. You identify the presenting problem of the patient.2. You verbalize your initial choice of pharmacotherapy for this patient.3. You identify further management for this patient.4. You identify any necessary patient education. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)