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Physical & Mental Disorder Comorbidity in Substance Users - page 36 / 40

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Case Study 1: Answers

Depression may be a contributing factor to the alcohol misuse, or may be caused or exacerbated by alcohol dependence

Kate needs assessment of her liver status, to exclude cirrhosis with portal hypertension.

Depression often lessens once the person stops drinking. Where it is safe to do so, you can wait a month before commencing anti-depressants.  

Where treatment is required an SSRI with lesser potential to provoke anxiety can be useful, e.g. citalopram or sertraline.

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