Presenting with depressed mood-low energy-anhedonia

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A nurse practitioner is completing an assessment of a patient who is presenting with depressed mood, low energy, anhedonia, oversleeping, feelings of worthlessness, and thoughts of never wanting to wake up again for the past 6 weeks. The patient has had these episodes since the age of 12. The patient has tried several antidepressants in the past. The medications have caused increased irritability, decreased need for sleep, and reckless behavior, or they have triggered active suicidal thoughts. The patient reports moments of reprieve from the depressive episodes that last a few days and consist of "less depression and more energy to get things done." The patient does not have any medical diagnosis, has undergone no surgeries, and does not have a history of alcohol abuse or recreational drug use. They have a family history of alcohol use disorder, bipolar disorder (father), and anxiety (mother and sister). What is the mechanism of action for the medication used to treat this patient's symptoms? Dopamine and serotonin receptor antagonist Histamine receptor antagonist Norepinephrine and serotonin reuptake inhibitor Serotonin reuptake inhibitor.

Reference no: EM133879105

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