Whenever 34-year-old Margaret has to give a presentation in…

Whenever 34-year-old Margaret has to give a presentation in front of a group, she becomes very nervous. She starts sweating profusely, her legs feel like “spaghetti,” and she often has immense trouble remembering what she wanted to say. The patient states that these events are infrequent. She is otherwise without anxiety symptoms and does not want to take something that would make her feel “loopy.” Vital signs are within normal limits. Medical history is significant for past alcohol abuse, from which she has been abstaining for 7 years. What is the most appropriate prescription?

A 24-year-old make with current major depressive episode has…

A 24-year-old make with current major depressive episode has experienced only a minimal reduction of depressive symptoms after 10 weeks of treatment with citalopram at 40mg daily. The patient complaints of a nearly complete loss of sexual desire and difficulty attaining an erection. This sexual difficulty is causing problems in his marriage. He has no history of medication problems and uses no illicit substances. What would mostly like be the next step in treatment?

A 37-year-old woman presents with recently diagnosed general…

A 37-year-old woman presents with recently diagnosed generalized anxiety disorder. She complains of palpitations and tremors associated with her anxiety that are significantly affecting her daily life. The patient is prescribed a selective serotonin reuptake inhibitor (SSRI). Which medication is indicated as an adjunct for her symptoms?

Melissa has been feeling exhausted and lacking energy for th…

Melissa has been feeling exhausted and lacking energy for the past month since starting as a medical intern at the county hospital. She also experiences hand tremors and disturbed sleep patterns, which she attributes to her excessive caffeine intake. Three days ago, she called her sister after feeling guilty about not being able to help their mom when she needed them most. Melissa was crying and sounded inconsolable. Her sister took her to a doctor, who diagnosed Melissa with mild generalized anxiety disorder. Which of the following drugs is FDA-approved for her condition?