Marsha Lansing, a 30 year old female, comes to the clinic where you work as a nurse practitioner reporting daily headaches and feelings of irritability and sadness. She also reports difficulty concentrating and getting out of bed some days. She states that she lives a very stressful life and finds herself worrying constantly about work, home, finances, family and pets. She is anxious and alert during the exam. Her physical exam is within normal limits.