A 28-year-old woman presents with a 2-week history of elevat…

A 28-year-old woman presents with a 2-week history of elevated mood, decreased need for sleep, pressured speech, and impulsive spending. She has no prior psychiatric history. Her medical history is significant for hypothyroidism treated with levothyroxine. Which of the following is the most important initial consideration before starting pharmacotherapy?

A 32-year-old woman presents with a 5-year history of intrus…

A 32-year-old woman presents with a 5-year history of intrusive, distressing thoughts about contamination and spends several hours daily washing her hands to relieve anxiety. She reports significant impairment in social and occupational functioning. She has tried several SSRIs with partial response and reports intolerable side effects at higher doses. Which of the following is the most appropriate next step in her treatment?