An 87-year-old man comes to the office because he has had di…
An 87-year-old man comes to the office because he has had difficulty sleeping since the recent death of his best friend, who was with him in the army during the Korean War. He states that bad memories about the war keep him awake at night. History includes chronic left leg pain (consequence of war injury), hypertension, hypercholesterolemia, and coronary artery bypass graft. Medications include aspirin, simvastatin, and hydrochlorothiazide, and acetaminophen as needed. His wife died 10 years ago; he lives alone and is independent in ADLs. He attends a senior center daily for lunch, but he is considering taking a break because the people there “get on his nerves.” The patient has a good relationship with his children and grandchildren and is well groomed and pleasant during the visit. On further questioning, he admits to more frequent concerns about his health. He denies thoughts of suicide but at times thinks that he would be better off dead. He does not have a firearm in his home. On examination, he has lost 2.3 kg (5.0 lb) since his last visit 3 months ago. Cognition is intact. Which of the following is the most appropriate treatment recommendation?