MSFinals-5347

MSFinals-5347

A 52-year-old woman who is well known to the community mental health team is brought into the psychiatric hospital by her worried friends. She has not been eating more than a few mouthfuls of food a day for the last two weeks and refuses to speak more than a few words. She remains awake all night and rocks in her chair. She even refuses to drink more than a cupful of water per day despite numerous attempts by her friends, doctors and psychiatrists. She is refusing all oral medications. After a brief conversation, you feel she has capacity to make decisions. You learn she has a long history of depression which has been very severe at times.
Which of the following is the most appropriate treatment?