A 22-year-old woman reports frequent sudden tearfulness, moo…

A 22-year-old woman reports frequent sudden tearfulness, mood swings, extreme irritability, and fatigue a week before beginning her period. These symptoms significantly negatively impact her functioning during this time. The symptoms improve within a few days after menstruation begins. What is the initial treatment recommendation with follow up in one month?

A 64 year old patient seen by the APRN complains of multiple…

A 64 year old patient seen by the APRN complains of multiple physical ailments, much fatigue and physical restlessness. She fidgets through out the interview. The patient reports much difficulty remaining asleep at night for the past month and admits that she has lost interest in going out with friends in her social circle. She expresses guilt about many things in her earlier life and reports occasional suicidal thoughts. She no longer associates with her closest friends. Weight is unchanged, vital signs are in normal range. The APRN strongly suspects and further assesses for

A 58 year old patient seen by the APRN complains a great dea…

A 58 year old patient seen by the APRN complains a great deal of trouble remaining asleep at night (has multiple awakenings), says she has lost interest in going out with friends, expresses feelings of worthlessness. She denies use of alcohol or drugs. She has been intentionally cutting back on food intake, had an 8 pound weight increase over the last month with a current BMI of 26.8. Vital signs are all WNL. She tells the APRN that methylphenidate may help with symptoms because she has taken it in the past to help with focus. Which of the following is essential to obtain in regard to differential diagnoses given the aboveĀ