A 37-year-old man attends his GP with low mood, anhedonia and poor sleep for 6 weeks. He is still working but struggling. PHQ-9 score is 11 (moderate ...

Question

A 37-year-old man attends his GP with low mood, anhedonia and poor sleep for 6 weeks. He is still working but struggling. PHQ-9 score is 11 (moderate depression). He has no suicidal ideation. What is the most appropriate first-line management?

Accepted Answer

Offer low-intensity psychological intervention such as guided self-help

Answer

Start an SSRI immediately plus CBT

Answer

Admit urgently under the Mental Health Act

Answer

Prescribe a benzodiazepine for 4 weeks

Answer

No treatment is required for this severity

uk-plab-1 MCQ (SBA): Depression (moderate severity)

A 37-year-old man attends his GP with low mood, anhedonia and poor sleep for 6 weeks. He is still working but struggling. PHQ-9 score is 11 (moderate depression). He has no suicidal ideation. What is the most appropriate first-line management?