Mrs. Bowen is a 33-year-old female who presents as a new patient requesting medication for depression. She reports a long history of mood disorders on and off going back to adolescence. She is very articulate in describing her history and reports that neither sertraline nor fluoxetine “worked for her.” With respect to considering Mrs. Bowen’s medication history, the PMHNP knows that: 

A. A SNRI will likely be the most appropriate choice if pharmacotherapy is indicated for this episode

B. This may be an inaccurate characterization as depressed patients tend to overemphasize negatives 

C. In some circumstances patients will purposefully mischaracterize the efficacy of medications they feel were ineffective

D. Some forms of recurrent depression are best managed with nonpharmacologic strategies
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YouTube: https://www.youtube.com/watch?v=tkuR-oLi0S8&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=17