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A nurse practitioner is completing a follow-up examination of a 24-year-old patient engaged in care for generalized

A nurse practitioner is completing a follow-up examination of a 24-year-old patient engaged in care for generalized anxiety disorder for the past year. The patient has been treated with a course of escitalopram (Lexapro) and psychotherapy. The patient appears uncomfortable today. They have bags under their eyes and seem out of character from past appointments. When asked about their appearance, the patient blurts out, “I am coming out to my family. I have felt uncomfortable with myself since I was very young. I am not in the right body and want to start living my life as the sex that I was supposed to be. I plan to start dressing as my true self and want to access care to transition.” Which of the following statements is the most appropriate when considering the best next steps in caring for this patient? “It must be challenging to come out to a family that is unsupportive of your transition” “Please provide the name of the care provider whom you have chosen for your transition” “Thank you for sharing this with me. Are you experiencing any anxiety or depression today?

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