A 17-year-old thin-appearing female with a history of major…
A 17-year-old thin-appearing female with a history of major depressive disorder presents with increased fatigue. The patient states that while she normally runs and exercises after each meal until she has burnt off the number of calories she just ate, she has been feeling more tired during these workouts and is having difficulty completing them. The patient’s motivation is still high to complete these workouts to avoid becoming overweight, so she makes herself do them. She states that she felt similarly during prior depressive episodes and thinks sertraline is no longer controlling her symptoms. The patient also notes that she has begun to feel “ugly” due to the appearance of thin soft hairs on her back and arms. She is concerned because her stress has become so severe she has stopped menstruating recently. What part of the patient’s presentation is a relative contraindication to augmenting her depression treatment with bupropion?
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