A 27-year-old woman presents to the psychiatrist due to feelings of sadness for the past 3 weeks. She was let go from her job 1 month ago, and she feels as though her whole life is coming to an end. She is unable to sleep well at night and also finds herself crying at times during the day. She has not been able to eat well and has been losing weight as a result. She has no will to go out and meet with her friends, who have been extremely supportive during this time. Her doctor gives her an antidepressant which blocks the reuptake of both serotonin and norepinephrine to help with these symptoms. One week later, she is brought to the emergency room by her friends who say that she was found to be in a state of euphoria. They mention bizarre behavior, one of which is booking a plane ticket to New York, even though she has 3 interviews lined up the same week. Her words cannot be understood as she is speaking very fast, and she is unable to sit in one place for the examination. Which of the following was most likely prescribed by her psychiatrist?
ABupropion
BVenlafaxine
CSertraline
DFluvoxamine
ELithium
A 25-year-old woman presents to her college campus clinic with the complaint of being unable to get up for her morning classes. She says that, because of this, her grades are being affected. For the past 6 weeks, she says she has been feeling depressed because her boyfriend dumped her. She finds herself very sleepy, sleeping in most mornings, eating more snacks and fast foods, and feeling drained of energy. She is comforted by her friend’s efforts to cheer her up but still feels guarded around any other boy that shows interest in her. The patient says she had similar symptoms 7 years ago for which she was prescribed several selective serotonin reuptake inhibitors (SSRIs) and a tricyclic antidepressant (TCA). However, none of the medications provided any long-term relief. She has prescribed a trial of Phenelzine to treat her symptoms. Past medical history is significant for a long-standing seizure disorder well managed with phenytoin. Which of the following statements would most likely be relevant to this patient’s new medication?
A“This medication is known to cause anorgasmia during treatment.”
B“You will have a risk for cardiotoxicity from this medication.”
C“A common side effect of this medication is sedation.”
D“While taking this medication, you should avoid drinking red wine.”
E“While on this medication, you may have a decreased seizure threshold.”
A 24-year-old male comes into the psychiatric clinic complaining of consistent sadness. He endorses feelings of worthlessness, anxiety, and anhedonia for the past couple months but denies feeling suicidal. He further denies any past episodes of feeling overly energetic with racing thoughts. Confident of the diagnosis, you recommend frequent talk therapy along with a long-term prescription of a known first-line medication for this disorder. What is the drug and what are some of the most frequently encountered side effects?
ASelective serotonin reuptake inhibitor; hypomania, suicidal thoughts
BTricyclic antidepressants; hypomania, suicidal thoughts
CSelective serotonin reuptake inhibitor; anorgasmia, insomnia
DMonoamine oxidase inhibitors; Orthostatic hypotension, weight gain
ETricyclic antidepressants; Orthostatic hypotension, anticholinergic effects
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