I have adult son with Becker Muscular Dystrophy, cardiomyopathy, declining health has new primary he asked for an antidepressants to treat mild depression that s more low mood and struggles in dealing with decomposition in health. 1st med they scripted him is Effexor. Seemed like bit strong. His ejection fraction is 45 he has developed dysrythmia , tachy-brady at 27 yrs old, abnormalities in left vertical inferiorlateral I think, chamber has shown dilation and thinning, on holter monitor rate ranged low 40s-170, one incident at 9 yrs of syncope with 200+ heart rate, low and high bop just recently improving on * lisopril* and *carvedilol*, on off elevated bili, two yrs ago elevated liver enzymes and inflammation...to many factors. Just wondering what are safest antidepressants at this stage. He just want to make sure the low mood doesn t escalate. We have no physician currently familiar with him. Is more to the medical but those are the primary for risk.