Physical Exam - Patient insist that Doctor give her medication for antidepressant.

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Patients with major depressive disorder may not initially present with a complaint of low mood, anhedonia, or other typical symptoms. In the primary care setting, where many of these patients first seek treatment, the presenting complaints often can be somatic (e.g., fatigue, headache, abdominal distress, or change in weight). Patients may complain more of irritability or difficulty concentrating than of sadness or low mood.

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