Vivian: Hey there, William. How are you doing?

William: I am doing pretty well.

Vivian: Good. I see that your BDI score is still low at 5. How has your mood been?

William: Fine. I really haven't had any problems with feeling down or being irritable.

Vivian: Any side effects? Are you still tolerating the medication well?

William: Actually, I have haven't really felt much like being with my wife, if you know what I mean.

Vivian: Do you mean that you have less interest in having sex with your wife?

William: That's right. Could it be the medicine?

Vivian: It's certainly possible. One option would be to try a different antidepressant that might have fewer sexual side effects.