14th February 2025

A 34-year-old woman with a background of depression sees her community mental health team for a routine review.

A 34-year-old woman with a background of depression sees her community mental health team for a routine review. In the last four months, she has developed excessive worry about her daily errands, such as completing her shopping within budget or locking up the house. She has also been experiencing a tremor and diarrhoea, which she has attributed to the lithium she takes.

She attends her GP, who organises some stool investigations to rule out a physical cause of her diarrhoea:

Culture: negative

Ova, cysts and parasites: negative

Calprotectin 15 micrograms/mg (10-60)

Which of the following is the most appropriate course of action?

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