What should the clinician be most concerned

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Question: A 25-year-old male with a past medical history of major depressive disorder presents to the clinic at the behest of his mother, secondary to depression in the setting of medication non-compliance. Per the patient's mother, the patient has a history of experiencing depressive episodes, seeing a psychiatrist, taking subsequently prescribed medications, but then abruptly halting them once he feels slightly improved. Upon examination, the patient reports a depressed mood, suicidal ideation, insomnia, feelings of guilt and regret, and anhedonia. The patient reports the last time he was on any medication was one year prior to arrival. The clinician decides to prescribe the patient paroxetine. What should the clinician be most concerned about in this patient?

Reference no: EM133508767

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