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the_ninth_sin

q 13 - Bereavement

7 posts in this topic

A man comes to your clinic nine months after the death of his mother. You find features of a moderate depressive illness. He occasionally hears her voice calling him. You decide to:

1. Do nothing and reassure him it will all go away.

2. Start an antidepressant and follow him up.

3. Start an antipsychotic and follow him up.

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this is a tricky question...its more than 6 months so the option of not doing is out....

he is moderately depressed...so he would need anti deps but if he is hearing voices ( from the little info that uve given here...doesnt seem like the voice oir presence u might see in normal greif-or even anger at the dead-or guilt) so the option of anti psychotics can not be ruled out.

do u think the question actually might give us more info???

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on the basis of above information start antidepressent

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ure right Ebrahimi.....

there isnt enough info for it to be declared as a psychotic event

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Agree that thr not enough inf to declare as Psychotic events, even if there are psychotic features,first option will be again Antidepressent to treat depression then antipsychotics

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