Mental Health Assessment for Major Depressive Disorder (MDD):  Patient presents today for evaluation of depressed mood, anhedonia, and fatigue.  Symptoms onset approximately six weeks ago following a significant job loss.  Patient reports experiencing a depressed mood most of the day, nearly every day, along with a marked decrease in interest or pleasure in activities previously enjoyed.  Significant fatigue is interfering with daily functioning, including basic self-care and maintaining work responsibilities.  Patient reports difficulty concentrating and making decisions.  Sleep disturbance is evident, characterized by insomnia with early morning awakenings.  Appetite is decreased, resulting in unintentional weight loss of approximately 10 pounds in the past month.  Patient denies suicidal ideation or intent at this time but reports feelings of hopelessness and worthlessness.  Review of systems is negative for any other significant medical complaints.  Past psychiatric history includes no prior diagnoses or treatment.  Family history is positive for depression in a first-degree relative.  Mental status examination reveals a patient who appears visibly sad with constricted affect.  Thought content is negative and focused on themes of failure and loss.  Speech is slow and soft.  Insight and judgment appear intact.  Diagnosis of Major Depressive Disorder, single episode, moderate severity (F32.1) is made based on DSM-5 criteria.  Treatment plan includes initiation of psychotherapy with Cognitive Behavioral Therapy (CBT) techniques and pharmacotherapy with a selective serotonin reuptake inhibitor (SSRI) to address depressive symptoms.  Patient education provided regarding the nature of depression, treatment options, and potential side effects of medication.  Follow-up appointment scheduled in two weeks to assess treatment response and medication tolerability.  Patient provided with crisis hotline information and encouraged to contact the office if symptoms worsen.