A 28-Year-Old Female Presents To Your Office Stating That She Is Troubled By Headaches And

A 28-year-old female presents to your office stating that she is troubled by headaches and fatigue
She says that she always feels tired and can’t sleep well, often waking up early if she gets to sleep at all
She describes her headaches as dull, aching, and generalized
These symptoms began about three weeks ago and have been getting worse
She reports a lack of interest in her usual activities, even the ones that she used to enjoy
She also reports that she is missing work due to fatigue and inability to concentrate
Although both her children are in school, she is concerned that she is losing them
She is worried that she might have something bad because she has difficulty concentrating and is having frequent crying spells
She reports a loss of appetite, with a weight loss of 10 pounds in the last month
The patient has no significant past medical or psychiatric history and takes no regular medications
However, she takes ibuprofen for headaches
She denies using alcohol or drugs
The patient is married, with two elementary school-age children
Summarize the clinical case
Create a list of the patient’s problems and prioritize them
Which diagnosis should be considered What is your rationale for the diagnosis What differential diagnosis should be considered What test or screening tools should be considered to help identify the correct diagnosis What treatment would you prescribe and what is the rationale (consider psychopharmacology, diagnostics tests, referrals, psychotherapy, psychoeducation) What standard guidelines would you use to assess or treat this patient Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position