A 31-year-old teacher describes eight months of constant worry about her students, her mortgage and her parent…

Question

A 31-year-old teacher describes eight months of constant worry about her students, her mortgage and her parents' health that she cannot switch off. She is tense, tires easily and takes two hours to fall asleep. She is not depressed, has no thoughts of self-harm, is still teaching full time and drinks no alcohol. She has never had any treatment. She mentions that her sister was given tablets for her nerves and asks whether she should have the same. Which one of the following should be offered fir…

Accepted Answer

Cognitive behavioural therapy

Answer

Diazepam 5 mg twice daily

Answer

Escitalopram 10 mg daily

Answer

Propranolol 40 mg twice daily

Answer

Quetiapine 25 mg at night

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