Problem: She reports intrusive images that tie up much of her time, some days are worse than others. She states that medications have certainly helped in the past, but have never worked to fully reduce the symptoms. Genevieve is open to another trial of medication as she is at crossroads in being able to live her life. What might your next question be to Genevieve in regard to choice of medication? As we discuss medications, Genevieve, consideration should be given to whether you are sexually active and on birth control. The sky is the limit, Genevieve, in terms of options for medications. Do you have any thoughts? Would you be okay, Genevieve, if we rechallenged you on sertraline since you took that so early in life? Since you have tried several antidepressants, Genevieve, we could consider starting with an antipsychotic medication. Need Assignment Help?