Yоur next pаtient is а 56-yeаr-оld wоman. She is experiencing heart palpitations but denies chest pain, shortness of breath, insomnia, and waking up with racing thoughts. This is fairly new to her, she has been very healthy and has regular health maintenance exams. Her last annual exam was one year ago. She is up-to-date with all immunizations. She does not take any medications. She had somewhat similar symptoms about 8 months ago; she went to the ED and the cardiac evaluation ruled out a possible MI or arrhythmia. She did not follow up with her PCP after that, she has been too busy with work. Which of the following would be least appropriate to support your thoughts regarding her mental health status?