A 16 year old client returns for follow-up appointment 3 wee…
A 16 year old client returns for follow-up appointment 3 weeks after starting on fluoxetine 20 mg daily. During the appointment you notice that her speech is a little rapid, in marked contrast to the psychomotor retardation and paucity of spontaneous speech she displayed on her first visit. Instead of looking at the floor, she now makes normal eye contact. Her affect has one from constricted to expansive. She continues to have difficulty sleeping, but her energy has improved and she states she feels “so much better.” She also has not been eating as much since she feels like she does not have time to eat since she is so much busier now that she is feeling better. What should you conclude about the shift in the client’s presentation?