AKT-4100

A 54-year-old teacher is brought in by her husband after she had a myocardial infarction (MI) six weeks ago. Despite her husband’s encouragement, she continues to smoke and has become withdrawn since her illness. She refuses to take her prescribed statin due to concerns about side effects and a belief that her situation is hopeless. Prior to her MI, she enjoyed hiking and spending time with her grandchildren, but now spends most of her day in bed.
Her medical history includes a hysterectomy in her 40s and a diagnosis of anxiety in her 30s, for which she was prescribed sertraline. She stopped taking the medication after a few months due to side effects.
You decide to start treatment with an antidepressant and refer her to a local cardiac rehabilitation support group.
Which of the following antidepressants would be most appropriate for this patient?