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Mr Smith is a 32 year old man who you have been seeing regularly with Generalised Anxiety Disorder (GAD). He has completed a course of Cognitive Behavioural Therapy (CBT) and tried Sertraline (for the last six months) but is still troubled with symptoms of insomnia, irritability and poor concentration and is preoccupied with worry about his future. He denies any thoughts of self-harm or suicide but is desperate to do something to improve his mental health.

What would be the next most appropriate pharmacological treatment choice?

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