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A data analyst with obsessive-compulsive disorder (contamination fears, hand-washing 3 hours a day) was started on fluoxetine 20 mg/day 4 weeks ago at the psychiatry OPD. She reports only slight improvement and asks to change the drug. She takes it regularly, has no side effects, is not depressed and is on a waiting list for exposure and response prevention, which will start next month. Her Y-BOCS score has fallen only from 28 to 25, and she worries that she will never get better. What is the most appropriate step now?
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