Review Question - QID 212743

A 32-year-old woman presents to the primary care clinic complaining of intermittently discolored hands. She states that whenever she becomes stressed, she notices her fingers turn white, blue, and then eventually warm and pink. She denies pain, but endorses “tightness” as well as mild pruritis when they turn pink. The patient also complains of fatigue, but she feels that this is from her new job as a night nurse. Her medical history is significant for panic disorder. She takes sertraline. After running her hands under cold water in the exam room, her fingers turn white, as shown in Figure A. Which of the following is the best management for the patient’s symptoms?