Assignment task:
A 27-year-old woman presents with depressed mood. She is 17 weeks pregnant. She has had three weeks of insomnia, guilt, poor concentration, and suicidality in addition to the depressed mood. Her medical history is notable for hypertension for which she took lisinopril prior to the pregnancy. Lisinopril was discontinued prior to the pregnancy and alpha-methyldopa was initiated due to uncontrolled hypertension on week 10 of the pregnancy. She does not smoke, drink alcohol, or use drugs. She has no history of a psychotic, mood, or anxiety disorder. While coordinating management and recommendations with her obstetrician and primary care, which of the following steps is likely to be most effective in treating this patient's underlying disorder? Need Online Tutoring? Bupropion treatment Cognitive behavioral therapy Discontinue alpha-methyldopa Initiate fluoxetine