A 28-year-old female with obsessive-compulsive disorder (OCD) is referred to your clinic for managem

A 28-year-old female with obsessive-compulsive disorder (OCD) is referred to your clinic for management. She describes recurrent intrusive thoughts about harming others, which causes significant distress. She spends hours daily performing rituals to “neutralize” these thoughts, such as repeatedly checking locked doors. She has no suicidal ideation or psychosis. She has been on fluoxetine 20 mg for eight weeks with minimal improvement. What is the next best step in her treatment? (May need to use Dynamed) Group of answer choices Increase the dose of fluoxetine Switch to clomipramine Add bupropion for augmentative therapy Recommend cognitive behavioral therapy (CBT) alone

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