A 32-year-old woman treated with an SSRI for major depressive disorder for 4 weeks reports minimal improvement and tolerable side effects. According t...

Question

A 32-year-old woman treated with an SSRI for major depressive disorder for 4 weeks reports minimal improvement and tolerable side effects. According to CANMAT recommendations, what is the most appropriate next step?

Accepted Answer

Increase the SSRI dose if not yet at the maximum recommended and reassess in a few weeks

Answer

Immediately switch to a different antidepressant class

Answer

Augment with an antipsychotic immediately

Answer

Stop medication and recommend psychotherapy alone

Answer

Declare treatment failure and refer for electroconvulsive therapy

ca-mccqe1 MCQ (SBA): Major depressive disorder - dose optimisation

A 32-year-old woman treated with an SSRI for major depressive disorder for 4 weeks reports minimal improvement and tolerable side effects. According to CANMAT recommendations, what is the most appropriate next step?