A 28-year-old male with a past medical history of major depressive disorder, hypertension, insulin-resistant diabetes

A 28-year-old male with a past medical history of major depressive disorder, hypertension, insulin-resistant diabetes mellitus, and medication non-compliance presents to the clinic at the behest of his mother. The patient’s mother reports the patient remains in bed all day. She states that he was doing better for a period of time while taking his medication, but then he became non-compliant and deteriorated. The patient has been without medication for the past three months. The provider plans on starting the patient on citalopram. Based on the patient’s history, what should the provider be concerned about before starting citalopram? A. Discontinuation syndrome based on a history of non-compliance B. Exacerbation of hypertension C. Exacerbation of diabetes mellitus D. Exacerbation of depression based on comorbid hypertension

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