By vgreene, 16 October, 2020 Consider olanzapine approved only for acute tx resistant MDD when used in combo w fluoxetine
By vgreene, 16 October, 2020 Offer rTMS but not VNS DBS per VA 1 consider ketamine infusion VNS rTMs MST DBS EMDR per ICSI3
By vgreene, 16 October, 2020 Offer MAOI or TCA factoring safety considerations 1 provide pt ed on safety side effects per VA 1 per ICSI use combined psychotherapy pharmaco tx as 1st line if unable to combine these txs start w pharmaco tx alone3