Question

A 42-year-old man with a history of major depressive disorder complains that his current SSRI is not controlling his symptoms. He has trialled a maximum tolerated dose for 8 weeks. Which next step is recommended by NICE?

Accepted Answer

Switch to a different SSRI or another class of antidepressant

Answer

Add a benzodiazepine long-term

Answer

Immediate ECT referral

Answer

Discontinue all medication and start psychoanalysis only

Answer

High-dose antipsychotics

Practice question

A 42-year-old man with a history of major depressive disorder complains that his current SSRI is not controlling his symptoms. He has trialled a maximum tolerated dose for 8 weeks. Which next step is recommended by NICE?