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A 31-Year-Old Woman Comes to the Physician Due to a Year-Long

question 714

Multiple Choice

A 31-year-old woman comes to the physician due to a year-long history of gradually worsening anxiety and restlessness. The patient is a nurse and feels tense and constantly worried about the welfare of her patients and whether her coworkers like her. As a result, she feels exhausted and discouraged most days. When the patient is home with her 2 preschoolers, she constantly worries about their becoming injured while playing, where they should go to school, and if she is a good mother. Her husband is supportive but thinks she is overprotective of the children and irrational in her concerns about family finances, their marriage, and everyday matters. The patient does not experience discrete anxiety attacks or depressed mood and cites no precipitating triggers or events. She knows that her worries are often unfounded but cannot stop worrying. The patient has a history of elevated triglycerides and takes no medications. Family history is unremarkable.
Which of the following is the best pharmacotherapy for this patient's condition?

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