A 19-year-old university student presents with a 2-week history of low mood, anhedonia, poor concentration and insomnia. She denies suicidal ideation....

Question

A 19-year-old university student presents with a 2-week history of low mood, anhedonia, poor concentration and insomnia. She denies suicidal ideation. According to the CANMAT 2023 update for major depressive disorder, what is the most appropriate first-line management?

Accepted Answer

Initiate a first-line SSRI or SNRI combined with psychotherapy as appropriate

Answer

Start benzodiazepines as monotherapy for sleep and anxiety

Answer

Prescribe antipsychotic monotherapy

Answer

Recommend watchful waiting without active treatment for 6 months

Answer

Refer directly for electroconvulsive therapy

ca-mccqe1 MCQ (SBA): Major depressive disorder

A 19-year-old university student presents with a 2-week history of low mood, anhedonia, poor concentration and insomnia. She denies suicidal ideation. According to the CANMAT 2023 update for major depressive disorder, what is the most appropriate first-line management?