Imagine yourself working as a speech-language pathologist. …

Imagine yourself working as a speech-language pathologist.  You have been asked to estimate the intelligibility of a 4-year-old child with a speech sound disorder on your caseload.  Name two quantitative tools/measures that you can use to estimate the child’s intelligibility, and name two variables that might affect intelligibility that are not captured with these tools.

A 45-year-old male presents with persistent low mood, fatigu…

A 45-year-old male presents with persistent low mood, fatigue, and difficulty concentrating for the past 3 months. He reports chronic lower back pain and frequent headaches that interfere with his daily functioning. He denies suicidal ideation. He has tried cognitive-behavioral therapy with minimal improvement. Medical history includes mild hypertension, well-controlled on lisinopril. He does not use alcohol or illicit drugs. On mental status exam, he appears tired, with slowed speech and psychomotor retardation. Thought process is logical, and there are no hallucinations or delusions. Which class of medication would be the most appropriate first-line choice for this patient?