MediumPsychiatryMild to moderate major depressive disorder managementau-racgpau-amc
A 28-year-old woman presents with low mood, anhedonia, early morning waking and guilt for 6 weeks. She denies suicidal ideation. There is no past history of mania or hypomania. Physical examination is normal. She prefers to avoid medication if possible. According to Australian depression guidelines, what is the most appropriate initial management?