A 44-Year-Old Man Comes to the Office Due to Low

A 44-year-old man comes to the office due to low mood, impaired concentration, increased sleep and appetite, feelings of heaviness in his arms and legs, and loss of energy.  He is having difficulty at work as he is overly sensitive to criticism.  Although his boss has told him not to worry, the patient is concerned that his job is in jeopardy due to poor performance.  His symptoms started 8 months ago without any clear-cut precipitating event.  The patient received adequate trials of 3 different antidepressants without improvement and has been off of medication for the past several weeks.  His physician is now considering electroconvulsive therapy (ECT) .  The patient declines ECT and asks to try another medication.  The physician then considers phenelzine.  The presence of which of the following additional symptoms would make the patient more likely to respond to this medication?

A) Auditory hallucinations
B) Decreased libido
C) Delusions
D) Memory impairment
E) Mood reactivity
F) Rapid speech

Correct Answer:

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