To further assess Tom, more information will need to be collected through a physical exam, review of systems, and additional history. Although Tom’s current presentation points to a mood disorder, it is important to first rule out organic health problems (Richardson, Katzenellenbogen, 2005). There are concerns of fatigue, headaches and stomach aches. It is important to assess these systems with a thorough physical exam and relevant laboratory tests (see questions 3 and 4), as well as obtain further physical and behavioral history. The history behind a behavioral health diagnosis is extremely important and necessitates a more in-depth history than many physical diagnoses (Burns, 2017). Areas of questioning that were not included in the case
