Assume she has adequate resources and cost is not concern

Reference no: EM133602078

Carolyn is a 23-year-old Black female graduate student who presents to you for care after being referred by her primary care provider. She has been treated for the last 1-1/2 years for major depressive disorder with sertraline and bupropion but has not achieved remission. In the last few months she has become more withdrawn, and did not return to school this semester. Carolyn appears to be neglecting her appearance, a significant change for her. Today you note that her affect is quite flat. When you ask specifically about hallucinations and delusions you learn that over the last year or so she has become convinced that there are communist operatives monitoring her life and infiltrating her home and electronic devices. She is afraid to use her computer or her phone, and she is sure that in her last live class at school one of the communist spies was posing as the teacher. She believes they are trying to frame her as a spy so that she can be extradited to prison in Russia. Choose a medication for Carolyn and support your option over others available. Assume she has adequate resources and cost is not a concern. What are the most important.

Reference no: EM133602078

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