John, a 38-year-old male with MDD and GAD, has been on sertr…
John, a 38-year-old male with MDD and GAD, has been on sertraline 100 mg daily for 8 weeks. His depressive symptoms have moderately improved, but he reports persistent restlessness, excessive worry, and difficulty sleeping. He also complains of new-onset sexual dysfunction, which is straining his relationship. What is the best pharmacological adjustment?
Read DetailsKaren, a 58-year-old female with treatment-resistant depress…
Karen, a 58-year-old female with treatment-resistant depression, has failed trials of multiple SSRIs, SNRIs, and atypical antidepressants. She is reluctant to undergo ECT but is open to alternative treatments. Which treatment option should be considered next?
Read DetailsJason is a 40-year-old man with treatment-resistant depressi…
Jason is a 40-year-old man with treatment-resistant depression. He has tried sertraline, bupropion, and venlafaxine without significant improvement. He reports no history of mania or psychotic symptoms. Which augmentation strategy should the PMHNP consider?
Read DetailsEmily, a 28-year-old female, was started on duloxetine 30 mg…
Emily, a 28-year-old female, was started on duloxetine 30 mg daily for MDD and GAD. After 4 weeks, her anxiety symptoms have improved, but she complains of persistent nausea and intermittent diarrhea. How should her medication regimen be adjusted?
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