"I can do both of those," Carson said, working what he wanted to put Justin on. "Okay, we're going to start you on something simple in terms of something to help you sleep -- I'd rather it not work and have to graduate to a stronger med than anything else."
He was perfectly happy to prescribe as needed, but he'd rather not throw too much at the situation right away. Especially given everything else hew as about to put the young man on.