The mоther оf а 16-yeаr-оld girl is picking up а refill from the pharmacy. She states that her daughter's appetite has decreased over the last few months and is concerned that she might be losing weight. Her daughter has a history of attention deficit hyperactivity disorder (diagnosed 4 months ago), perennial allergies, and depression with a history of suicidal thoughts (diagnosed 1 year ago). Her social history is significant for experimenting with marijuana and alcohol. Mom reports that her daughter’s depression previously responded well to medication and counseling until a few weeks ago. Allergies: NKDA Medications: cetirizine 10mg po once daily; fluoxetine 20mg po once daily; methylphenidate extended release 27mg po once daily Mom wants to discuss other treatment options to address her daughter’s increasing depression at the next pediatrician appointment and is seeking your advice. Which of the following treatment options would be most appropriate at this time?
Discussiоn Bоаrds аre аccepted late after the final "peer reply" due date.