A 30-year-old man presents with a 2-week history of low mood, anhedonia, poor sleep, reduced appetite, and feelings of worthlessness following a relat...

Question

A 30-year-old man presents with a 2-week history of low mood, anhedonia, poor sleep, reduced appetite, and feelings of worthlessness following a relationship breakdown. He has no past psychiatric history and no suicidal ideation. According to NICE guidelines, what is the most appropriate initial management strategy?

Accepted Answer

watchful waiting and supportive listening

Answer

Start Citalopram 20mg daily

Answer

Referral for Cognitive Behavioural Therapy (CBT)

Answer

Prescribe Diazepam 2mg TDS PRN

Answer

Refer urgently to secondary care mental health services

mrcgp akt MCQ (SBA): Mild Depression / Adjustment Reaction