A 46 year old widow consults you for advice on management of insomnia

A 46 year old widow consults you for advice on management of insomnia, indifferent appetite; recent weight loss of 5 kg., headaches and tearfulness. 4 weeks ago her only son died after subarachnoid haemorrhage. Since then she had experienced auditory hallucination, of her son’s voice calling out her name and had felt his presence in their living room. Your initial management of this woman would involve:

  • a. Grief counselling and a brief course of benzodiazepine
  • b. Grief counselling and a brief course of TCA
  • c. Grief counselling and a brief course of phenothiazine’s
  • d. Referral to psychiatrist
  • e. Referral for hospitalisation and treatment

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