Symptoms are affecting her ability to function

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Debbie has been worrying about when the next panic attack will occur, and the symptoms are affecting her ability to function. She was previously effectively treated with venlafaxine and until now had experienced infrequent panic attacks. The patient reports numerous stressors at home, including conflicts with her husband, having a 7-month-old son, and recently taking in a friend who is homeless. She was restarted on venlafaxine 75 mg daily 5 months ago for depressive symptoms that reemerged after giving birth to her son. The venlafaxine had been stopped during her pregnancy to reduce the risk of teratogenicity. Psychiatric review of systems is positive for depression and generalized anxiety. Debbie does not have any medical history or symptoms that would suggest a medical cause for her panic attacks. She denies any history of alcohol use or substance use, and the toxicology screen was negative for illicit substances.

Reference no: EM133830660

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