A 27-year-old female presents with complaints of anxiety, te…

A 27-year-old female presents with complaints of anxiety, tension, and anxious mood that has been occurring for the past three months. She is waking up in the middle of the night and sleeping about 6 hours a night. On the Hamilton anxiety rating scale (HAM-A) she scores 20. Based on the score of the Hamilton anxiety rating scale (HAM-A) she has:

All the following medication interventions would be reasonab…

All the following medication interventions would be reasonable as the next step in the treatment of major depressive disorder when the patient has only partially improved after six to eight weeks in response to an adequate dose of a standard SSRI antidepressant EXCEPT: