Question

A 15-year-old girl presents with low mood, anhedonia, and poor sleep for 2 months, affecting school performance. She has no suicidal ideation. According to the 2023 CANMAT guidelines for major depressive disorder and Canadian paediatric practice, what is the most appropriate initial management?

Accepted Answer

Begin a selective serotonin reuptake inhibitor combined with structured psychotherapy and close monitoring

Answer

Initiate a tricyclic antidepressant

Answer

Recommend herbal preparations only

Answer

Delay any intervention for 6 months

Answer

Admit for compulsory inpatient treatment

Practice question

A 15-year-old girl presents with low mood, anhedonia, and poor sleep for 2 months, affecting school performance. She has no suicidal ideation. According to the 2023 CANMAT guidelines for major depressive disorder and Canadian paediatric practice, what is the most appropriate initial management?