What diagnosis do you believe may apply to this individual?

A
24-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.

What
diagnosis do you believe may apply to this individual?
What
classifications of medications can be used to treat this disorder? Which
medication do you recommend and why?

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