22nd February 2024

A 35 year old female with a history of recurrent depression presents to your GP surgery with symptoms of palpitations, excessive worry, sweating and lightheadedness.

A 35 year old female with a history of recurrent depression presents to your GP surgery with symptoms of palpitations, excessive worry, sweating and lightheadedness. Her observations and routine tests have been normal. She reports a promotion at work where she is required to deliver presentations and speak to new clients. Her symptoms present at the thought of embarrassing herself, and she also finds that her depressive symptoms have returned. She has gradually been dreading going to work and is now scared of losing her job. She scores a 7 on her mini-spin assessment.

Which of the following options is the best initial treatment for her?

Select the SINGLE most appropriate option from the list below. Select ONE option only.