“I’m nearing the end of my rope,” said Michelle, a 38-year-old mother of two, to her internist. “I leave and then return to our apartment three times to retrieve everything I’ve forgotten.
I don’t plan meals. I can’t keep up with meetings at school, doctors’ appointments, or sports practices. I’m not sleeping well and I’m anxious all the time about just getting through my day without a catastrophe.”“Michelle, you’re clearly depressed and anxious,” said her internist.
She prescribed a selective serotonin reuptake inhibitor (SSRI), a type of antidepressant.Michelle left the office feeling heard and pleased with what seemed a reasonable diagnosis and treatment plan.
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