A 44-year-old Black Man with Delusions

摘要

Mr. R. is a 44-year-old black man who was diagnosed with HIV 6 years ago. His primary care physician (PCP) diagnosed major depressive disorder 6 months ago and initiated escitalo-pram, which was titrated to a dose of 20 mg/day. To address his symptom of initial insomnia, the PCP initiated eszopiclone 2 mg/day 2 months before the patient's referral to our outpatient psychiatric clinic.