dr_jojo
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27.) Five months after beginning fluoxetine to treat obsessive-compulsive disorder, a
19-year-old man states that he discontinued his medication 2 months ago because
he had begun to worry about taking his medication every day. His initial response
to the medication was good. His symptoms have now returned, and his morning
ritual of cleaning and grooming consumes so much time that his job is in jeopardy.
In addition to education about the nature of his disorder and its treatment, which
of the following is the most appropriate next step in management?
A) Tell the patient to schedule a return visit as needed
B) Offer to change the medication
C) Request that the patient's parents superviseadministration of medication
D) Monitor the patient's compliance by weekly blood tests
E) Begin a trial of cognitive-behavior therapy
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| robin082006
Forum Hero
Topics: 471
Posts: 5,125
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E) Begin a trial of cognitive-behavior therapy
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The Key to Succeed is Patience.
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| 92306
Forum Senior
Topics: 14
Posts: 126
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E) Begin a trial of cognitive-behavior therapy
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| zzpearl
Forum Senior
Topics: 51
Posts: 138
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can you guys explain Why not A?
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| ing
Forum Guru
Topics: 45
Posts: 435
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This q is in qbook as well. doc should offer all available treatment. In this case, the pt doesn't like to take the med, then doc should try to offer a trial of cognitive-behavior therapy.
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Never give up!!
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