A Patient Who Has Been Taking Venlafaxine (Effexor) for Major

A patient who has been taking venlafaxine (Effexor) for major depressive disorder with melancholic features says that suddenly he can't sleep and spends hours writing to his congressman with his ideas of how to reduce the national debt. The psychiatric advanced practice nurse considers all of the following but selects which one as the most likely explanation for the change in his clinical presentation:

A) Nonadherence with venlafaxine
B) Emergence of symptoms of hypomania
C) Emergence of symptoms of a personality disorder
D) Increasing severity of symptoms of depression

Correct Answer:

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