Use the following case study for this discussion:

You are seeing patients one day a week in the student health center of a local university. Your patient, a 19-year-old native Hawaiian female, was referred by her academic advisor because her academic performance has deteriorated in the second semester of her freshman year and at her last meeting reported no motivation to finish school. You evaluate this patient and diagnose her with major depressive episode with a strong anxiety component. She has no history of mental health disorders, no significant medical history, and takes no medication at all.

Respond to the following in your initial post:

• What is your first choice of medication for this patient, and why? Write her prescription, and justify the use of both medication class, and selection of specific medication within class.
• Are there any specific safety concerns for your medication of choice in a 19-year-old female?
• Further, describe any cultural implications that contributed to your medication choice.
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