Question

A 45-year-old woman presents to her GP with low mood, anhedonia, poor sleep and impaired concentration for 6 weeks, affecting her work. She denies suicidal ideation. Mental state examination is consistent with moderate major depressive disorder. According to Australian guidance, what is the most appropriate first-line management approach?

Accepted Answer

Refer for psychological therapy (e.g. CBT) or high-quality e-mental health program, with consideration of SSRI if she prefers or if psychological therapy is not accessible

Answer

Watchful waiting only

Answer

Start an SSRI plus refer for psychological therapy

Answer

Start benzodiazepines as primary treatment

Answer

Commence antipsychotic medication

Practice question