Mood disorders Quiz: Ace Your Exams
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A 29-year-old woman presents to her physician for evaluation of weight gain and low energy for the past two months. The patient broke up with her partner several weeks ago and since then has felt unmotivated and tired despite getting 8-hours of sleep nightly. She used to enjoy rock climbing but no longer finds joy with this activity since it reminds her of all the times she climbed with her ex. She has gained 4.5-kg (10-lb) over this period and has been eating more. She had a similar episode of low mood and energy when she was in college. She takes no medications. She used marijuana occasionally in college but has not used it since. Vitals are within normal limits. Physical examination is unremarkable. The physician and patient discuss several treatment options for depression and agree on combination treatment with both cognitive behavioral therapy and medication. Which of the following questions should the physician ask prior to initiating first-line pharmacotherapy for this patient’s condition?
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