A 29-year-old man attends his GP with low mood for 4 months, anhedonia, poor sleep and reduced appetite. He has no suicidal ideation and minimal funct...

Question

A 29-year-old man attends his GP with low mood for 4 months, anhedonia, poor sleep and reduced appetite. He has no suicidal ideation and minimal functional impairment. According to NICE, what is the most appropriate first-line management?

Accepted Answer

Offer active monitoring and guided self-help

Answer

Start Sertraline immediately

Answer

Offer high-intensity CBT and antidepressants together

Answer

Refer urgently to psychiatry

Answer

Start Mirtazapine and arrange ECT referral

uk-plab-1 MCQ (SBA): Mild depression management

A 29-year-old man attends his GP with low mood for 4 months, anhedonia, poor sleep and reduced appetite. He has no suicidal ideation and minimal functional impairment. According to NICE, what is the most appropriate first-line management?