A 36-year-old woman presents with depressed mood, anhedonia, sleep disturbance and impaired functioning for 6 weeks. She has no psychotic features or ...

Question

A 36-year-old woman presents with depressed mood, anhedonia, sleep disturbance and impaired functioning for 6 weeks. She has no psychotic features or high suicide risk and prefers to avoid medications if possible. What is the most appropriate first-line management according to CANMAT 2023?

Accepted Answer

Offer either an evidence-based psychotherapy (e.g., CBT) or an SSRI as first-line treatment

Answer

Recommend lifestyle changes only

Answer

Prescribe benzodiazepines alone

Answer

Start antipsychotic monotherapy

Answer

Advise self-help books only

ca-mccqe1 MCQ (SBA): Major depressive disorder

A 36-year-old woman presents with depressed mood, anhedonia, sleep disturbance and impaired functioning for 6 weeks. She has no psychotic features or high suicide risk and prefers to avoid medications if possible. What is the most appropriate first-line management according to CANMAT 2023?