system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 25-year-old woman comes to the physician because of headache and difficulty sleeping for the past 2 days. She states that she has had similar symptoms over the past several months and that they occur every month around the same time. The episodes are also frequently accompanied by decreased concentration, angry feelings, and cravings for sweet foods. She says that during these episodes she is unable to work efficiently, and often has many arguments with her colleagues and friends. Menses occur at regular 26-day intervals and last 5 days. Her last menstrual period started about 3 weeks ago. She has smoked one pack of cigarettes daily for the last 8 years. She takes no medications. She appears irritable. The patient is oriented to person, place, and time. Physical examination shows no abnormalities. Which of the following is the most appropriate treatment?
assistant
Fluoxetine