A 56 year old woman who is depressed after her husband died of cancer 3 months ago was given amitryptaline. Her sleep has improved and she now wants to stop medication but she still speaks about her husband. How would you manage her?

The key is B. Continue amitriptyline. [depression is important feature of bereavement. Patient may

pass sleepless nights. As this patients sleep has improved it indicate she has good response to

antidepressant and as she still speaks about her husband there is chance to deterioration of her

depression if antidepressant is stopped. For depressive episodes antidepressants should be continued

for at least 6-9 months].