A 42-year-old woman presents with low mood, anhedonia, insomnia and impaired functioning for 6 weeks. There is no psychosis or imminent suicide risk. ...

Question

A 42-year-old woman presents with low mood, anhedonia, insomnia and impaired functioning for 6 weeks. There is no psychosis or imminent suicide risk. She has not tried therapy previously and prefers non-pharmacologic treatment. According to CANMAT 2023 depression guidelines, what is an appropriate first-line option?

Accepted Answer

Guided internet-based cognitive behavioural therapy (iCBT) as monotherapy

Answer

Benzodiazepine monotherapy

Answer

Tricyclic antidepressant as first-line therapy

Answer

No treatment; symptoms will self-resolve

Answer

Antipsychotic monotherapy

ca-mccqe1 MCQ (SBA): Major depressive disorder