Review Question - QID 210050

A 28-year-old woman with a medical history of fibromyalgia presents to her primary care provider for her annual well visit. She reports that her pain has become more severe over the last several weeks and is no longer well-controlled by NSAIDs. The pain is beginning to interfere with her sleep and she feels she no longer has energy to take care of her 2-year-old son. The patient also endorses feeling more down than usual recently, little interest in seeing friends, and difficulty concentrating on her work. She admits to feeling that she would be “better off dead.” The patient feels strongly that the worsening pain is driving these changes in her mood and that she would feel better if her pain was better controlled. Her temperature is 98.4°F (36.9°C), blood pressure is 117/78 mmHg, pulse is 76/min, respirations are 12/min, and oxygen saturation is 99% on room air. Which of the following is the most appropriate next step in management?