psych q

[tyagee]

A 35-year-old Caucasian man presents complaining of feeling "worthless." His poor self-esteem began two
months ago when he discovered that his girlfriend was romantically involved with one of her colleagues for a
brief period several years ago. He was devastated by this news and immediately ended the relationship. He
has completely isolated himself from friends and family and now prefers to stay home alone. He admits to
having no interest in dating women, even when they seem to be a good match for him. He struggles to
concentrate on his work as a mortgage broker and is unable to sleep at night. He reluctantly admits to
occasionally using heroin "to escape the misery." W hich one of the following treatments is most appropriate
for this patient?
A. Fluoxetine
B. Psychodynamic psychotherapy
C. Buspirone
D. Trazodone
E. Clonazepam

[mbbs2010]

B. Psychodynamic psychotherapy

its adjustment disorder... so this is tried first before going to drugs?

[Novobiocin]

B. Psychodynamic psychotherapy
He is having an exaggerated response to an identifiable stressor>>>Adjustment disorder