A 19-year-old woman presents to a walk-in clinic asking for help with her mood. She has had low mood, loss of interest, poor sleep, and fatigue for 4 months, and has made multiple superficial cuts on her forearms over the past 2 months. Previous physicians did not offer her any treatment. On direct questioning, she reports occasional thoughts that she would be better off dead but denies any plan or intent to end her life, has no access to firearms, and lives with supportive parents. She takes no medications, has no allergies, and has no history of mania or substance use. On examination, there are multiple linear, superficial forearm cuts, none requiring sutures.
| Heart rate | 78/min |
| Respiratory rate | 14/min |
| Temperature | 36.8 °C |
| O2 saturation | 99%, room air |
| Blood pressure | 108/66 mm Hg |
Question 1 of 3
Which of the following are the most appropriate management steps at this visit?
Select 2. (0 / 2 selected)
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