A 45-year-old woman presents with 8 weeks of low mood, anhedonia, early morning awakening, poor appetite and impaired functioning at work. There is no...

Question

A 45-year-old woman presents with 8 weeks of low mood, anhedonia, early morning awakening, poor appetite and impaired functioning at work. There is no bipolar history, substance misuse or psychosis. According to CANMAT guidelines, what is the most appropriate initial management?

Accepted Answer

Begin an SSRI such as sertraline with psychotherapy

Answer

Start a benzodiazepine as primary treatment

Answer

Advise watchful waiting only

Answer

Prescribe antipsychotic monotherapy

Answer

Recommend St John's wort without further assessment

ca-mccqe1 MCQ (SBA): Major depressive disorder

A 45-year-old woman presents with 8 weeks of low mood, anhedonia, early morning awakening, poor appetite and impaired functioning at work. There is no bipolar history, substance misuse or psychosis. According to CANMAT guidelines, what is the most appropriate initial management?