Step 1

Behavioral 11

A 40-year-old woman presents to the clinic with concerns that her depression has not improved despite treatment with cognitive behavioral therapy and fluoxetine for the past 5 months. When asked about her depression, she states that she can enjoy pleasurable activities briefly before returning to her baseline level of depression. She has also noticed a heavy feeling in her arms and legs and notes that she is constantly hungry. If she doesn't turn on her alarm clock, she sleeps for 12 hours straight which she notes is unusual given that 8 months prior she would naturally wake up after 8 hours.

Which of the following second-line pharmacological therapies is most appropriate to attempt to relieve the patient's depressive symptoms?

  • A) Buspirone
  • B) Citalopram
  • C) Lithium
  • D) Tranylcypromine
  • E) Venlafaxine


Anastasiya Haponyuk


Dr. Ted O'Connell

Last updated

Sep 18, 2022


Our Other Products: