A 35-year-old man presents to his GP with several months of low mood, anhedonia, poor sleep and reduced appetite. He is still working but struggling. ...

Question

A 35-year-old man presents to his GP with several months of low mood, anhedonia, poor sleep and reduced appetite. He is still working but struggling. There is no suicidal ideation or psychotic symptoms. You diagnose moderate major depressive disorder. Which is the most appropriate initial management?

Accepted Answer

Commence an SSRI such as sertraline and offer psychological therapy

Answer

Benzodiazepines alone

Answer

Immediate electroconvulsive therapy

Answer

Antipsychotic monotherapy

Answer

No treatment; watchful waiting for 6 months

au-amc MCQ (SBA): Major depressive disorder