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The Great Emancipator

Prim Care Companion J Clin Psychiatry 2009;11(3):122

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​​GK is a 50-year-old woman who came to me for the first time a couple of weeks ago describing a long history of depression punctuated by hypomanic episodes. Her thoughts were racing a bit, and her spending and sexual impulsivity had been threatening her marriage. We began a combination atypical antipsychotic/selective serotonin reuptake inhibitor, and within days she reported feeling “clear and at ease,” a mental state she had not experienced “in 4 score and 7 years.”​