[Expert Solution]: You start your first psychiatric rotation…

You start your first psychiatric rotation at a busy community health clinic. The behavioral health provider you are shadowing on your first day ushers you into a room where you can observe a patient follow-up appointment. The patient is a 35-year-old Vietnamese American patient with a history of Major Depressive Disorder, recurrent, moderate. The provider sits down at the computer and does not introduce either you or herself to the patient. “Is your name Mary Thomas? Birth date 02/12/1976?” the provider asks. “Oh, wait, no, that’s the next patient. You are…Amy Lee, right?” the provider asks. “I see here we started you on Prozac 20 mg last month. You feel better now? Not so depressed?” “Well, I actually didn’t start it yet,” Amy says. “You didn’t start it? Well, then you must not be feeling that bad after all. Why are you here?” “I just wanted to talk about—” “It says in your last note that you are depressed, sleep too much, can’t concentrate, are overeating. Is that still the same?” The provider rolls her eyes. “Um, yes,” says Amy. “Okay. So do you want to kill yourself? Anyone else?” “No, I—” “Alright, what about seeing things? Hearing things?” the provider asks. “No,” says Amy. “Any changes to your medical condition? New medications? I mean, we know you aren’t taking Prozac. Are you taking something else?” “No.” “Okay, so you want to feel better but didn’t start the medication. You see there is a problem with that, right? You are not going to feel better unless you take it. Are you going to take it?” “Yes, um, okay,” says Amy, quietly.