Review Question - QID 220315

A 24-year-old woman presents to her primary care physician with a 5 month history of headache. She started getting headaches when she was dumped by her boyfriend. Since then, the headaches seem to happen a few times per week and are associated with stress. She has not been able to sleep well and feels tired all the time with pain in her shoulders and knees worse towards the end of the day. Her performance at work in marketing is suffering and her boss recently told her that she needs to pay more attention. She feels like the situation is out of control. She has no significant medical history and does not take any medications. She drinks alcohol socially and does not smoke. Her temperature is 98.6°F (37.0°C), blood pressure is 120/60 mmHg, pulse is 75/min, respirations are 16/min, and BMI is 23 kg/m^2. Upon starting the physical exam, she begins to cry, and her appearance is shown in Figure A. The physical exam is otherwise unremarkable. Which of the following is the most appropriate next step in management?
...