What is the most likely cause of this patients behavior

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A 43-year-old Muslim woman presents to the clinic with low mood, decreased sleep, and anhedonia for the last 6 months. After a detailed evaluation, she is prescribed sertraline and advised to schedule cognitive behavioral therapy. During the first session with her new therapist, a man, the patient does not make sustained eye contact. She makes eye contact for a couple of seconds and then maintains eye contact with the floor throughout the entire session. What is the most likely cause of this patient's behavior?

Reference no: EM133687051

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