Psychiatric nurse practitioner with depressed mood

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A 55-year-old woman presents to a psychiatric nurse practitioner with a depressed mood, lethargy, and weight gain with a normal appetite. She also complains of occasional constipation and takes docusate sodium daily with relief. She has never had these symptoms before but endorses a past psychiatric history of postpartum anxiety treated successfully with a two-year course of sertraline 100 mg po q day. States that she and her partner had such difficulty getting pregnant that she was scared to leave her baby with anyone else. Her mental status examination is significant for a depressed-appearing female with fair eye contact, a soft voice, and no abnormal movements. She endorses fluctuating passive suicidal ideation.

Reference no: EM133796944

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