A client being seen in the mental health clinic is being started on tricyclic antidepressants for treatment of depression. Which condition in the client's history should be brought to the attention of the primary care provider?
1. The client smokes cigarettes.
2. The client was unresponsive to treatment with selective serotonin reuptake inhibitors (SSRIs).
3. The client has a history of previous suicide attempts.
4. The client lives alone.
Answer: 3
1. Smoking would not be significant.
2. Tricyclic antidepressants are sometimes effective for people unresponsive to other antidepressants.
3. Tricyclic antidepressants can be fatal if an overdose is taken; clients sometimes take the medications to commit suicide.
4. Living alone would not be significant.
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