She denies suicidal thoughts at this time. She has no history of suicide attempts. She requests Prozac because that worked before. Mother had a history of depression and anxiety in her 20s and 30s. Has family support.
Physical exam reveals an alert and oriented young woman in no apparent distress.
Affect -appropriate concern, maintains eye contact. Clothes neat, clean appropriate for the weather. Exam within normal limits. No thyromegaly noted. Regular rate and rhythm without murmur.