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Question
1. You have a 10-year-old male that you are treating for attention deficit with Concerta 27 mg and depression and anxiety with 20 mg of Citalopram. His parents report he continues to have aggressive mood swings. They feel like his focus and attention at school is pretty good and his depression has improved because he hasn't talked about wishing he was dead and seems happier. But he terrorizes the house with his violent mood swings. Other kids you see in his class name him as their bully.
Treatment ideas?
2. You've been working with a 14-year-old girl whom you diagnosed with depression and anxiety. You started her on sertraline 50 mg 4 weeks ago and her depression has lightened some and her anxiety has improved slightly. She continues to have some down days. And still struggles a bit with being out in public comfortably.
3. You have a 7-year-old who has an abuse history. She is experiencing nightmares and cannot separate from her mom without crying and clinging to her. She is afraid to sleep at night and tries to stay awake all night. No medication history.
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In this study the temporal and spatial variation of heat content in the upper 70m layer of the Arabian Sea was for a period of 1991 to 2008 have been attempted.
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