A 35-year-old man presents with low mood, anhedonia, poor sleep and reduced appetite for 2 months. He has passive suicidal thoughts but no active plan...

Question

A 35-year-old man presents with low mood, anhedonia, poor sleep and reduced appetite for 2 months. He has passive suicidal thoughts but no active plan. There is no history of mania or psychosis. What is the most appropriate first-line management?

Accepted Answer

Selective serotonin reuptake inhibitor plus psychological therapy

Answer

Tricyclic antidepressant alone

Answer

Antipsychotic medication alone

Answer

Electroconvulsive therapy as first-line

Answer

Benzodiazepine monotherapy

au-amc MCQ (SBA): Major depressive disorder

A 35-year-old man presents with low mood, anhedonia, poor sleep and reduced appetite for 2 months. He has passive suicidal thoughts but no active plan. There is no history of mania or psychosis. What is the most appropriate first-line management?