Kevin, a 50-year-old male with MDD and GAD, started venlafax…

Kevin, a 50-year-old male with MDD and GAD, started venlafaxine 225 mg daily 6 weeks ago. His depressive symptoms have improved, but he reports persistent muscle tension, restlessness, and tremors. He denies substance use or a history of neurologic conditions. What is the likely cause of his symptoms, and how should his treatment be adjusted?

Robert, a 55-year-old male with treatment-resistant MDD and…

Robert, a 55-year-old male with treatment-resistant MDD and GAD, has been taking sertraline 200 mg daily for 4 months with minimal improvement. He has also been taking clonazepam 0.5 mg twice daily for 2 years but is hesitant to stop. What is the most appropriate next step?

James, a 40-year-old male with severe GAD, has been taking c…

James, a 40-year-old male with severe GAD, has been taking clonazepam 1 mg twice daily for the past year. While it effectively manages his anxiety, he expresses concern about long-term use and wants to reduce his reliance on the medication. What is the most appropriate strategy to address James’s concerns?