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48 Year old female brought in by her husband.
* Depressed Mood
* Social Withdrawal
* Severe Anxiety
* Passive thoughts of wanting to die or disappear
> 3 year history of depression
Family H/O: Strong family history of depression & Anxiety
Meds: 5 antidepressants including combinations over 3 years with little consistent response.
Present Medications: Sertraline 100mg daily; and Alprazolam 0.5-1 mg daily
Q- What will you do next?
(a) Add an atypical antipsychotic
(b) ECT (Electroconvulsive Therapy)
(c) TMS (trancranial Magnetic Stimulation)
(d) Continue the same treatment
Read the full history (including details of psycho-pharmacological and psycho-therapeutic treatment tried) and check the answer here ---> http://www.quantiamd.com/player/yyaebsyme?cid=10000016&u=ypikhbaum
Click here to join: http://quantiamd.com/home/sig_primarymentalhealth?u=ypikhbaum
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