Question

A 19-year-old woman presents with symptoms of anxiety and low mood for the past 4 weeks following a relationship breakup. She has difficulty sleeping, poor concentration, and feels tearful. She denies suicidal ideation. She scores 12 on the PHQ-9 questionnaire. According to NICE NG222 (Depression in adults), what is the most appropriate initial management?

Accepted Answer

Offer low-intensity psychosocial intervention (e.g., guided self-help)

Answer

Prescribe Sertraline 50mg OD

Answer

Refer for high-intensity psychological therapy (e.g., CBT)

Answer

Prescribe Diazepam 2mg PRN

Answer

Watchful waiting and arrange review in 2 weeks

Practice question