A 42-year-old man presents with 3 months of low mood, anhedonia, poor concentration and early morning awakening. He has passive thoughts that life is ...

Question

A 42-year-old man presents with 3 months of low mood, anhedonia, poor concentration and early morning awakening. He has passive thoughts that life is not worth living but no active suicidal plan. There is no substance misuse or medical cause. According to CANMAT guidelines, what is the most appropriate initial management?

Accepted Answer

Start a first-line SSRI antidepressant combined with psychotherapy

Answer

Watchful waiting without active treatment

Answer

Prescribe benzodiazepines alone for sleep

Answer

Admit involuntarily to hospital

Answer

Recommend herbal remedies only

ca-mccqe1 MCQ (SBA): Major depressive disorder