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ModeratePsychiatryModerate depressionuk-plab-1

A 35-year-old woman presents with low mood, anhedonia and early morning waking for 3 months. She has no psychotic features or suicidal intent but finds it difficult to function at work. PHQ-9 suggests moderate depression. There is no history of mania or substance misuse. According to NICE guidance, what is the most appropriate initial management in primary care?

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