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학습 자료 둘러보기 →When a client reports feeling better within the first week of starting an SSRI like sertraline, acknowledge the improvement but clarify this is an initial physiological effect, not full remission. The therapeutic lag for antidepressants is 4–6 weeks.
The core nursing action is to reinforce the importance of continuing the medication as prescribed to allow for neuroplastic changes that sustain mood improvement. Frame adherence as a critical step in preventing relapse.
Never support abrupt discontinuation. Abruptly stopping an SSRI can precipitate discontinuation syndrome (dizziness, nausea, sensory shock-like sensations), which can be mistaken for a return of depression. Any dose change requires a planned taper under psychiatric supervision.
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