Mrs. Bowen is a 33-year-old female who presents as a new patient requesting medication for depression. She reports

a long history of mood disorders on and off going back to adolescence. She is very articulate in describing her

history and reports that neither sertraline nor fluoxetine ―worked for her.‖ She was unable to remember the dose or

how long she took the medication. With respect to considering Mrs. Bowen’s medication history, the PMHNP

knows that:

A. An SNRI will likely be the most appropriate choice if pharmacotherapy is indicated for this episode

B. This may be an inaccurate characterization, as depressed patients tend to overemphasize negatives

C. In some circumstances patients will purposefully mischaracterize the efficacy of medications they feel were

ineffective

D. Some forms of recurrent depression are best managed with nonpharmacologic strategies