- Geneva Flowers is a 41-year-old woman who is referred by herfamily physician to an outpatient mental healthclinic. She complains of feeling down and sad, with cryingspells, trouble sleeping, increased eating, impaired concentration,and fatigue. She has not worked in over 2 months and has used upher vacation and sick leave from work.
- The patient sought treatment for depression 3 months ago fromher family physician, who prescribed mirtazapine. Her spirits havenot improved, and she says the medication made her gain weight.Because of vague references that the physician believed couldpossibly indicate suicidal ideas, she has been referred forpsychiatric evaluation.
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