PGI2alpha
Forum Elite
Topics: 7
Posts: 447
|
1) 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
|
| move along
Forum Senior
Topics: 11
Posts: 188
|
i would go for E
begin a trial of congnitive and behavioural therapy.
a...wwould lead to another episode of stopping pills and relapse
b....no need to change medication with no adrs
c.....no need of parental supervsion above age 18
d.....compliance monitoring too complicated at this stage compared to addition of cogn behav therapy
|
| fox
Forum Guru
Topics: 70
Posts: 727
|
E
___________________
Aim High
|
| truedeam59
Forum Elite
Topics: 29
Posts: 145
|
E
|
|
| |
| | | | |
