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Problem
Josh is a 17-year-old male who presents to your clinic with self-esteem issues. He is currently on a SSRI for depression. Upon talking to the patient, you find his acne has caused issues with his social life which contributes to his depression. Based on your visualization, his acne is prominent with many comedones, presence of nodules, and some scarring. Use the guidelines and relevant literature in your topic Resources to discuss the following: Based on Josh's presentation, how would diagnose his acne (mild or moderate to severe)? Explain your rationale. How do you manage treatment expectations to ensure maximum patient adherence? What are some non-pharmacological approaches to the treatment of acne? Based on the AAFP guidelines, what treatment strategy is considered first-line? Be sure to include the drug, dose, frequency, and treatment length, and explain your rationale for choosing this medication. Include spectrum of coverage, if applicable, and mechanism of action. Determine monitoring, side effects, and drug-drug interactions associated with each medication. After 12 weeks of adherence to the medication regimen, Josh's confidence has improved and now he wants to stop his SSRI today. How would you advise the patient?
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