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    STU 25SUM1 Pediatric Competency Proctored Exam

    A 10-year-old patient was recently diagnosed with generalized anxiety disorder (GAD). In addition to psychological treatment, the medication that should be considered for initial treatment is:

    Explanation & Rationale

    Rationale: A. Anxiolytics, such as buspirone, are not typically first-line for children with generalized anxiety disorder. B. Benzodiazepines are generally avoided in pediatric patients due to the risk of dependence, sedation, and cognitive impairment. C. Selective serotonin reuptake inhibitors (SSRIs) are considered first-line pharmacologic treatment for pediatric GAD when combined with cognitive-behavioral therapy. They have evidence supporting efficacy and safety in children and adolescents. D. Antipsychotics are not indicated for primary treatment of generalized anxiety disorder and are reserved for specific severe psychiatric conditions.

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