A 45-year-old woman with no significant past history presents with fatigue and low mood for 3 months. She has lost interest in activities, has early m...

Question

A 45-year-old woman with no significant past history presents with fatigue and low mood for 3 months. She has lost interest in activities, has early morning wakening and poor concentration, but no psychotic features or suicidality. According to RANZCP mood disorder guidelines, what is the most appropriate initial management?

Accepted Answer

Commence a selective serotonin reuptake inhibitor and arrange psychological therapy

Answer

Immediate hospital admission

Answer

Commence long-term benzodiazepines

Answer

Electroconvulsive therapy

Answer

No treatment; this is normal sadness

au-amc MCQ (SBA): Major depressive disorder