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The Patient Is Diagnosed with Major Depressive Disorder and Begins

question 919

Multiple Choice

The patient is diagnosed with major depressive disorder and begins weekly psychotherapy.  Arrangements are made to have extra help in the home.  Despite these interventions, she becomes increasingly depressed and anxious.  The patient's husband is concerned that she is getting worse.  He says, "Although the baby is healthy, she continues to worry about the baby's feeding and growth and berates herself for being a bad mother.  She even has difficulty making everyday decisions such as what diapers and groceries to buy."  The patient has difficulty falling and staying asleep.  Her appetite is poor, and she has lost 15 pounds over the past month.  She says, "Maybe my baby would be better off without me" but has no intention or plan to take her own life or hurt her baby.  No delusions or hallucinations are elicited.  The patient is willing to take medication but wants to continue breastfeeding and does not want to take anything that would harm the baby.  Which of the following is the most appropriate intervention?

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Definitions:

Phenomenon

An observable fact or event, especially one that can be scientifically described and investigated.

Parsimonious

A term used to describe a theory or explanation that is simple and lacks unnecessary elements, favoring minimal assumptions.

Replicable

Capable of being duplicated or repeated under the same conditions, allowing for verification of results in scientific research.

Statistical

Related to or based on the use of statistics, involving the collection, analysis, interpretation, and presentation of numerical data.

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