Abstract

A 28-year-old woman has had migraine withoutaura since the age of 13 with attacks now occurringabout4timespermonthwithaninconsistentresponseto triptans. In addition, she has had recurring endog-enous depression for 3 years treated with paroxetinelastoveroneyearagowithsomehelp.Herdepressionis currently mild.There is no history to suggest hypo-maniaormania.Shehasbeenfrequentlyanxiousforafew years as well, worrying about everything, whichcan cause difficulty falling asleep. Her mother has ahistoryofmajordepressionandmigraine.Hersisterisbeing treated for migraine and bipolar disease.

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