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An 81-year-old woman presents to your office with a 6-month history of poor sleep and constant feelings of sadness. She also reports a loss of interest in social activities at the assisted living facility where she lives. She has no suicidal ideation or hallucinations. On the Geriatric Depression Scale, she identifies with 4 out of the 5 depressive responses and scores 16 out of 27 on the Patient Health Questionnaire-9. She has a 20-year history of hyperlipidemia, seizure disorder, hypothyroidism, and chronic low back and knee pain. Her physical examination is unremarkable. Laboratory studies reveal a normal thyroid-stimulating hormone level. What is the most appropriate treatment for this patient’s suspected diagnosis? Amitriptyline Bupropion Duloxetine Trazodone
SCIENCE
HEALTH SCIENCE
NURSING

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