Hits and Near Misses

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Monday WR is a 31-year-old man, a Web page designer whom I have been treating for depression. Initial treatment with fluoxetine had limited success that was overshadowed by significant worsening of insomnia and profound sexual dysfunction. It seems that his schedule was so irregular that if he couldn’t sleep, he would just try to work. Problem is, his work quality was suffering as well. Thus, he was becoming frustrated on all fronts.​

Prim Care Companion J Clin Psychiatry 2000;2(5):179-180