Sally is a 34-year-old woman who is diagnosed with MDD. She…
Sally is a 34-year-old woman who is diagnosed with MDD. She feels that it is likely associated with stress resulting from her troubled marriage of the past 10 years. She is initiated on an SNRI and reports initial improvement in symptoms. However, over the following months, the medication appears to lose its effectiveness despite her insistence that she is adhering to the dosing regimen. This is likely a result of:
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