Reference no: EM133794064

Question 

A 17-year-old patient presents to their primary care provider requesting medications for anxiety. The patient reports hand tremors, constantly feeling "edgy" and irritable, and struggling with significant insomnia. They report no worrying, mood symptoms, or substance use. They have no history of psychiatric conditions and are physically healthy. They skip meals at times but have a healthy body mass index. The patient reports adequate fluid intake but uses caffeinated beverages throughout the day to stay alert and complete schoolwork and job duties. Their schedule is full with high school, advanced college placement classes, and working as a nursing assistant on the weekends and after school. The patient is a straight-A student with plans to become an engineer. Family history is significant for several relatives with generalized anxiety disorder who have responded well to selective serotonin reuptake inhibitors. The primary care provider calls the psychiatrist for recommendations about anxiety medication choice, dosage, and management. Which of the following is the most appropriate next step in management? Cognitive behavioral therapy Decreasing work hours Reducing caffeine use Sertraline 50 mg per day Trazodone 50 mg at bedtime.