A 30-year-old woman presents with 4 weeks of low mood, anhedonia, insomnia and impaired concentration. She has no history of mania or psychosis. There...

Question

A 30-year-old woman presents with 4 weeks of low mood, anhedonia, insomnia and impaired concentration. She has no history of mania or psychosis. There are no significant medical comorbidities and no active suicidal intent. According to the 2023 CANMAT guideline, which is the most appropriate initial management?

Accepted Answer

Initiate a first-line SSRI or SNRI plus brief psychotherapy

Answer

Start a benzodiazepine as monotherapy

Answer

Refer urgently for electroconvulsive therapy

Answer

Start a tricyclic antidepressant as first choice

Answer

Advise watchful waiting only for another 3 months

ca-mccqe1 MCQ (SBA): Major depressive disorder