You are treating a patient that has OCD, bulimia nervosa, and panic disorder with fluoxetine. Which of the following is a common side effect of this medication?

You receive an “after-hour” emergency call from a patient’s family, who has a history of alcoholism has missed his last two appointments.  The family reports that the patient agitated, seeing and hearing things, and is very disorientated. The patient’s wife reports that the patient’s last drink was 3 days ago. What do you suspect is going on with this patient?

You are treating a patient that has a diagnosis of obsessive-compulsive disorder (OCD) and you prescribe clomipramine to help treat her symptoms. When she asks you when she can expect relief after starting the clomipramine, the best answer is:

You are treating a patient with a diagnosis of obsessive-compulsive disorder. In today’s office visit, the patient’s wife states that the patient will take up to 3 hours to shave his beard in the morning, which is causing problems with his attendance at work. You know that this symptom pattern is:

Before diagnosing a patient with obsessive-compulsive disorder, the patient must have two essential features. What are these essential features?

A 48-year-old married white male is diagnosed with major depressive disorder with significant sleep disturbance. You decide to prescribe Trazodone 50 mg po at hs prn sleep. What significant side effect should the patient be educated about before taking the medication?

For a patient who has depression and difficulty falling asleep, which medication would be most effective?

A 48-year-old African female is admitted with profuse sweating, diarrhea, abdominal cramps, vomiting, yawning, muscle aches, restlessness, and insomnia for 1 day. A physical exam reveals a BP of 155/105 mmHg and a temperature of 100°F. The patient is cold with muscle twitches and dilated pupils. She is highly motivated to detoxify. Which medication is the best choice for detoxification?

A 40-year-old male presents to the emergency room with flushing, sedation, and confusion. His vitals are BP 80/55, RR 12/min, and pulse 60/min irregular with pupillary constriction, clouded sensorium, and poor coordination. Which medication is the appropriate antidote in this emergency?

A 38-year-old female presents to your clinic wanting to become pregnant. She is concerned about conceiving while being on valproic acid. In addition to advising the patient to stop smoking and refrain from alcohol consumption, what is the most likely reason for the patient to stop take valproic acid?