Five months after beginning fluoxetine to treat obsessive-compulsive disorder, a 19-year-old man st

Discussion in 'Step 3' started by samuel, Nov 30, 2013.

  1. samuel

    samuel New Member

    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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