What is the initial therapy for ocd

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What is the initial therapy for ocd

 
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The PMHNP is working with a couple who has been trying for years

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The PMHNP is working with a couple who has been trying for years to conceive and is now ready to pursue adoption

as an option. They are considering all possibilities; private vs. government-mediated adoption, adopting from another country, adopting a child of a different race or ethnicity adopting an older child rather than an infant, adopting a child who is currently in foster care vs. one who lives in an orphanage. While counseling this couple, the PMHNP advises them that:

 
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Ramon is a 12-year-old male who was started on fluoxetine

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Ramon is a 12-year-old male who was started on fluoxetine, 40 mg daily, for major depressive disorder 6 weeks ago.

At his 2-week follow-up he was feeling well with no adverse drug effects, and his dose was elevated from 20 to 40 mg. Today he presents for a routine follow-up visit. He reports that he has trouble focusing at school. His friendly say that he gets upset quickly, and they are starting to avoid him. The most appropriate approach is to:

 
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The PMHNP suspects that Wesley, an 8-year-old male,

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The PMHNP suspects that Wesley, an 8-year-old male, has a reading disorder. In Kindergarten his teacher documented

some suspicion for a disorder, but throughout first grade and now into second grade, he is clearly functioning below expected levels. He becomes increasingly anxious when asked to read in school. Which aspect of Wesley’s history would support the risk for this diagnosis?

 
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