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A 31-year-old woman stopped paroxetine four days ago; she had taken 20 mg daily for eight months for panic disorder and ran out of tablets while interstate for work. She now aches all over, has a headache and nausea, feels unusually irritable, is light-headed when she turns her head quickly, and describes brief jolts down both arms. She is sleeping badly with vivid dreams. Her mood is good, she is enjoying work and has had no panic attacks. Temperature is 36.8 degrees C, there is no tremor and her reflexes are normal. Which one of the following best accounts for her symptoms?
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