A 36-year-old woman presents to her family physician with low mood, anhedonia, poor sleep and impaired functioning for 8 weeks. There are no psychotic...

Question

A 36-year-old woman presents to her family physician with low mood, anhedonia, poor sleep and impaired functioning for 8 weeks. There are no psychotic or bipolar features and no active suicidal intent. According to CANMAT guidelines, what is the preferred initial management?

Accepted Answer

Antidepressant monotherapy or evidence-based psychotherapy as first-line options

Answer

Immediate combination of two antidepressants

Answer

Mood stabiliser monotherapy

Answer

Antipsychotic monotherapy

Answer

No treatment; symptoms expected to resolve spontaneously

ca-mccqe1 MCQ (SBA): Major depressive disorder initial treatment

A 36-year-old woman presents to her family physician with low mood, anhedonia, poor sleep and impaired functioning for 8 weeks. There are no psychotic or bipolar features and no active suicidal intent. According to CANMAT guidelines, what is the preferred initial management?