A 35-year-old woman presents with low mood, anhedonia, early morning waking and poor concentration lasting 6 weeks, affecting her work. There is no ps...

Question

A 35-year-old woman presents with low mood, anhedonia, early morning waking and poor concentration lasting 6 weeks, affecting her work. There is no psychosis or suicidality. What is the most appropriate initial management in primary care?

Accepted Answer

Provide psychoeducation and consider starting an SSRI plus brief psychological therapy

Answer

Prescribe benzodiazepines alone long-term

Answer

Refer immediately for electroconvulsive therapy

Answer

Do nothing and wait for spontaneous recovery over a year

Answer

Start high-dose antipsychotic medication

au-amc MCQ (SBA): Major depressive disorder initial management

A 35-year-old woman presents with low mood, anhedonia, early morning waking and poor concentration lasting 6 weeks, affecting her work. There is no psychosis or suicidality. What is the most appropriate initial management in primary care?