Maria, a 42-year-old female with long-standing MDD and GAD,…
Maria, a 42-year-old female with long-standing MDD and GAD, has been stable on duloxetine 60 mg for 2 years. Recently, she has developed worsening anxiety and depressive symptoms, alongside new complaints of headaches and increased blood pressure. No changes in her health or life circumstances are reported. What is the most appropriate next step?
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