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History of Present Illness: R.L. presents today for his initial psychiatric appointment via telepsych. Pt referred by PCP who is currently prescribing him Wellbutrin 150mg once daily. Pt reports struggling with depressive symptoms since his teens "off and on" but has been more pronounced in the last 6 months. Experiencing tearful episodes "for no apparent reason", low mood, no motivation, trouble concentrating, loss of appetite, racing thoughts, excessive worry about daughter, difficulty initiating sleep and staying asleep every night (3-4 hours per night), loss of interest in sex, struggling with irritability, and arguing over parenting which is affecting his marriage. Wife recently moved out of the bedroom into another room which prompted R.L. to seek out additional help. Get the instant assignment help. He has been previously prescribed Zoloft 2 years ago for depression which he found helpful but was struggling with anxiety and his primary care physician switched him over to Wellbutrin. Pt endorses Wellbutrin was "definitely helpful for my anxiety but about 6 months ago my depression started coming back". Pt has been seeing a therapist for two years now. Denies ever having or currently having any suicidal ideation. What underlying medical conditions may be causing some of this patient's presentation?
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