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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