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February 4, 2023

35-year-old female presents to the clinic with a 6-moth history of repetitive behaviors and uncontrollable impulses. She states that she washes her hands 10 to 15 times per day and feels that ne

35-year-old female presents to the clinic with a 6-moth history of repetitive behaviors and uncontrollable impulses. She states that she washes her hands 10 to 15 times per day and feels that need to constantly reorganize items in her home multiple times throughout the day. She has a history of depression and was unable to tolerate selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors due to sexual dysfunction. She currently takes no medications. Her blood pressure is 122/80 mmHg, pulse 80/min, respirations 16/min. and temperature 98.0 F. Her physical examination is unremarkable. Which of the following is an appropriate treatment for her condition?

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