drxyz
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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 supervise administration 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
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E ) Begin a trial of cognitive-behavior therapy
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| cirus
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| Drtweetie
Forum Elite
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E
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"Our greatest glory is not in never falling but in rising every time we fall." --Confucius
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| drxyz
Forum Senior
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thank u
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| elitoki
Forum Guru
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E.
Pte has stop taking SSRI for O-C disorder because of fear of side effect and not due tp his undesire to continue treatment.
we should provide him other options of treatment with CBT.
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| Justice
Just signed contract
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E ) Begin a trial of cognitive-behavior therapy
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| cashmed
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| jodin
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y should he begin a cognitive therapy .. i guess he should be ordered long term treatment .... so offering him l\other ttt options is appropriate
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| peraspera
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OCD is typically treated with behavioral therapy (BT), cognitive therapy (CT), medications, or any combination of the three. Psychodynamic psychotherapy may help in managing some aspects of the disorder, but it is not commonly a primary intervention. According to the Expert Consensus Guidelines for the Treatment of obsessive-compulsive disorder (Journal of Clinical Psychiatry, 1995, Vol. 54, supplement 4), the treatment of choice for most OCD is behavior therapy or cognitive behavior therapy.Medications as treatment include selective serotonin reuptake inhibitors (SSRIs) such as paroxetine (Paxil, Aropax), sertraline (Zoloft), fluoxetine (Prozac), and fluvoxamine (Luvox) as well as the tricyclic antidepressants, in particular clomipramine (Anafranil). SSRIs prevent excess serotonin from being pumped back into the original neuron that released it. Instead, the serotonin can then bind to the receptor sites of nearby neurons and send chemical messages or signals that can help regulate the excessive anxiety and obsessive-compulsive thoughts.
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| Dr.D
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E
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| gr8doc
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E
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