AssessmentsPremenstrual dysphoric disorder
Premenstrual dysphoric disorder
USMLE® Step 2 style questions USMLE
An 18-year old woman comes to your clinic because of excessive mood lability that recurs every month, for the past 3 months. She describes these episodes as week-long bouts of anger, irritability, and sadness that interfere with her concentration. She also experiences breast tenderness and swelling, joint pain, and other muscle aches. Which of the following is the most appropriate initial step in management?