A 36-year-old man presents with low mood, anhedonia, early morning wakening and poor concentration for 6 weeks. There is no suicidal ideation, psychos...

Question

A 36-year-old man presents with low mood, anhedonia, early morning wakening and poor concentration for 6 weeks. There is no suicidal ideation, psychosis or bipolar history. Symptoms are affecting his work performance. What is the most appropriate first-line management?

Accepted Answer

Start an SSRI such as sertraline and offer psychological therapy

Answer

Start a tricyclic antidepressant as first-line

Answer

Prescribe benzodiazepines only

Answer

Refer directly for electroconvulsive therapy

Answer

No treatment; symptoms are part of normal life

au-amc MCQ (SBA): Major depressive disorder

A 36-year-old man presents with low mood, anhedonia, early morning wakening and poor concentration for 6 weeks. There is no suicidal ideation, psychosis or bipolar history. Symptoms are affecting his work performance. What is the most appropriate first-line management?