### Patient: Doctor, I have been feeling really stressed out and overwhelmed lately. I've been having trouble sleeping and I can't seem to shake this feeling of sadness. I think I might be dealing with some sort of adjustment reaction.
### Doctor: Based on your symptoms, it's important that we evaluate your mental health. The required medical tests include psychotherapy and mental health counseling which will help to manage your symptoms. We will also do a depression screen to evaluate the severity of your depression. A toxicology screen and blood alcohol test is necessary to rule out any substance abuse. Additionally, psychological and psychiatric evaluation and therapy may be needed to help cope with your condition. We may also consider other physical therapy and rehabilitation to complement your treatment.