Could you read the following Psych Evaluation and write a response, just one page, with 2 APA scholarly references, no first page is needed. The rationale for agreeing or disagreeing with the diagnosis and treatment/plan?

Subjective:

CC (chief complaint): “I sometimes feels scared and sad, telling myself I am not good enough”.

HPI: The patient N.B is a 16-year-old Hispanic female who presented to the clinic accompanied by her mother for an initial psychiatric evaluation. The patient complained of feeling scared and sad, sometimes telling herself she was not good enough. She reports feeling tired with no desire to do anything. She has lost pleasurable interest in activities, wants to be left alone, cries frequently, worries a lot, and feels jittery and anxious. She also reported she got afraid that something terrible may happen to her, felt on edge, and had sudden obsessive thoughts. N.B feels worthless, helpless, hopeless, has racing thoughts, highly stressed, irritable, loss of appetite, not able to sleep at night but feels sleepier during the day. She reported rape by a family friend when she was fourteen years old, she did not report it, and it has been hunting her these days. N.B is a mother of a four-month-old baby boy, and she reported experiencing these symptoms before having her baby but got worsened after the delivery of her son. She said that even though it worsens after the baby is born, she gets great joy anytime she sees her son. She reported having a prior thought of suicide sometimes and still feels the same due to low self-esteem. She has no self-mutilation, and her son is the one keeping her ongoing. She, however, denies homicidal ideations or thoughts. She endorses auditory and visual hallucinations and flashbacks from the rape incident but no delusional thoughts. She rated her mood as 7/10 and Anxiety as 8/10. Even though she does not enjoy school because she cannot focus on school activities and gets distracted easily, her goal is to go to college. She lives with her mother and two brothers, and maternal grandparents. Her coping skill is doing house chores; staying idle worsens her symptoms.

Substance Current Use: N.B denies alcohol use; she does not smoke marijuana and does not use any illicit drug.

Medical History: N.B denies any medical issues.

Current Medications: N.B was prescribed Prozac 10mg tablet, one tablet once a day for 30 days with no refill.

Allergies: She denies any drug, food, or seasonal allergies.

Reproductive Hx: N.B is a single mother of a four-month-old baby boy, she is not breastfeeding, gravida 1, para 1, heterosexual and has regular monthly menstrual flow.

ROS:

• GENERAL: N.B presented to the clinic well-groomed and appropriately dressed for the weather. She appeared her stated age, denies fever, and have weight loss due to loss of appetite. She denies night sweats, seemed worried, and had depressive symptoms. She is alert and oriented to person, place, time, and situation.

• HEENT: Head is normocephalic; she denies head trauma. Eyes: She does not wear glasses, denies double or blurred vision, and has no conjunctivitis. Ear: She denies hearing difficulties, tinnitus, and no earache or drainage voiced. Nose: she denies sneezing, rhinorrhea, and rhinitis. Mouth: she denies dental caries, no gingivitis or periodontal disease, and oral mucosa is pink and moist. Throat: she denies having a sore throat, no swollen lymph nodes, or jugular distension.

• SKIN: The patient denies pruritis, bruising, or any open areas on the skin.

• CARDIOVASCULAR: N.B denies chest discomfort and tightness.

• RESPIRATORY: The patient denies respiratory distress, no SOB or cough.

• GASTROINTESTINAL: The patient denies constipation or diarrhea.

• GENITOURINARY: N.B denies frequency or urgency in urination, no dysuria.

• NEUROLOGICAL: N.B denies headache or syncope.

• MUSCULOSKELETAL: The patient denies myalgia, no joint pain.

• HEMATOLOGIC: The patient denies any abnormal bleeding or bruising.

• LYMPHATICS: The patient denies lymphadenopathy, no splenomegaly

• ENDOCRINOLOGIC: The patient denies cold or heats intolerance, no polydipsia, polyuria, or polyphagia.

Objective:

Vital signs: B/P 118/66, HR 92, RR 18, SaO2 100%, wt 132 lbs, ht 5’5′ BMI 22 kg/m2 ( Normal).

GENERAL: The patient present with her stated age, appropriately dressed in good hygiene and well groomed. She appeared sad, worried with depressive symptoms. She denies unexplained weight loss, no night sweats, fever, or chills. She expresses loss of appetite.

HEENT: Normocephalic head, no trauma. Eye: Equal, brisk, and reactive to light. Ears: ears are symmetrical, no deformities. Nose: No rhinitis or sneezing. Mouth: pink and moist oral mucosa, no dental carries. Neck: is supple, no lymph nodes, swallowing difficulties or sore throat.

SKIN: Intact with no open areas.

CARDIOVASCULAR: No chest pain, peripheral edema noted.

RESPIRATORY: No cough, wheezing, or shortness of breath. Breathing even and unlabored.

GASTROINTESTINAL: No heartburn, N/V or constipation noted.

GENITOURINARY: No dysuria, urinary frequency or urinary incontinence noted.

NEUROLOGICAL: No headaches, syncope, or seizures noted.

MUSCULOSKELETAL: No joint pain, swelling, or myalgias noted.

HEMATOLOGIC: No bleeding, or bruising noted.

LYMPHATICS: No visible swollen lymph nodes or glands noted.

Diagnostic Test:

PHQ-9 score: 17, moderately severe depression.

Generalized Anxiety Disorder Assessment (GAD-7): 20/21: indications of severe anxiety.

Laboratory Investigations:

Complete Blood Count (CBC): Normal

Comprehensive Metabolic Panel (CMP): Normal