Case of the Month

A 79 year-old male is brought by his family for evaluation of severe treatment-refractory depression.  His current episode has lasted 6 months and has not responded to  to full courses of venlafaxine and citalopram.  His current regimen is  fluoxetine 80 mg/d, olanzapine 15 mg/d, and risperidone 3 mg/d, without benefit.   He is a practicing attorney and has been unable to function.  He also has hypertension and coronary artery disease, both treated and controlled with medications.  He has had 5 episodes in the past.   

Click here to read about the outcome of this case in the first Psychiatry Letter newsletter

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