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INICIAR CON ISRS

NO RESPUESTA YCON COMORBILIDAD

Asociar:

NO RESPUESTA Y SINCOMORBILIDAD:1.- Cambiar de ISRS2.- Iniciar Clomipramina3.- Asociar Antipsicotico

(baja dosis)

T. DEPRESIVOOtro antidepresivo

Litio

CT

T. NEUROLGICO oAGRESIVIDAD

Carbamazepina

Otroanticonvulsivante

Litio

T. ansiedad(comorbilidad conotro T. de ansiedad)

Clonazepam

Otroansioltico

T. PSICTICO ntipsictico

TDAH etilfenidato

tomoxetina

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