Jose is a 20 year-old male who lives with his mother, father and 9 year-old brother. The family is fluent in English and Spanish and lives in the Bronx. A counselor refers Jose to the neighborhood clinic because he is concerned about his weight. Jose is unclear why he was referred but offers three possibilities: his weight, his asthma, or his difficulty getting along with his schoolmates. Jose has a history of school-related problems. He does not raise his hand or participate in class activities, does not complete his schoolwork and often complains of being bored. He prefers to be home with his mother and does not have many friends. Jose saw his grandmother murdered and since then has wanted to stay at home with his mother. He also knows students who lost parents in the events of 9/11 and seems to think about it a lot.

1. What do you think which mental health condition Jose is suffering from ?
2. What is the first-line treatment for his condition ?
3. Which neurotransmitter disturbance this medication may improve ?
4. Which major side-effect Jose may experience after prolonged use of this medication ?
5. Which alternate medication you can suggest that can resolve this side-effect of your first-suggested medication ?