Vol. 12, No. 03 / March 2013 This month’s instant poll Mr. W, age 78, describes low mood, insomnia, and lack of energy. He is no longer interested in his woodworking hobby. His depressive symptoms began after his wife died a year ago. Mr. W denies suicidal ideations, but reports memory impairment. How would you treat him? □ Prescribe a selective serotonin reuptake inhibitor (SSRI) and a hypnotic □ Prescribe an SSRI and begin cognitive-behavioral therapy (CBT) focusing on the loss of his wife □ Begin CBT for insomnia □ Refer Mr. W for a comprehensive neurologic examination to rule out dementia
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