Part of your well visit screening includes the Depression PHQ9 screening. Your 16 year old patient has a total score

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Part of your well visit screening includes the Depression PHQ9 screening. Your 16 year old patient has a total score of 21. In discussing the questions, the teen is having significant problems in classes, not able to play sports due to a below C average, parents are ‘harping’ on him due to his lack of performance in school and girlfriend just broke up with him. He feels down all the time and having significant problems sleeping. His weight is down 15 pounds (now 125#). He denies any use of alcohol or drugs. He denies suicidal ideation or homicidal ideation. What would be appropriate in this patient’s care? Group of answer choices Routine behavioral health referral, start on prozac 40 mg daily with 30 day prescription, follow-up by telehealth or in office visit in 2 weeks Urgent behavioral health referral, start on prozac 40 mg daily with 14 day prescription, follow-up by telehealth or in office visit in 2 weeks Urgent behavioral health referral, start on prozac 10 mg daily with 14 day prescription, follow-up by telehealth or in office visit in 2 weeks Routine behavioral health referral, start on prozac 10 mg daily with 30 day prescription, follow-up by telehealth

Part of your well visit screening includes the Depression PHQ9 screening. Your 16 year old patient has a total score of 21. In discussing the questions, the teen is having significant problems in classes, not able to play sports due to a below C average, parents are ‘harping’ on him due to his lack of performance in school and girlfriend just broke up with him. He feels down all the time and having significant problems sleeping. His weight is down 15 pounds (now 125#). He denies any use of alcohol or drugs. He denies suicidal ideation or homicidal ideation. What would be appropriate in this patient’s care? Group of answer choices Routine behavioral health referral, start on prozac 40 mg daily with 30 day prescription, follow-up by telehealth or in office visit in 2 weeks Urgent behavioral health referral, start on prozac 40 mg daily with 14 day prescription, follow-up by telehealth or in office visit in 2 weeks Urgent behavioral health referral, start on prozac 10 mg daily with 14 day prescription, follow-up by telehealth or in office visit in 2 weeks Routine behavioral health referral, start on prozac 10 mg daily with 30 day prescription, follow-up by telehealth

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