A 32-year-old woman has depressed mood, anhedonia, insomnia, low energy, and poor concentration for 2 months. She denies mania, psychosis, substance

Question

A 32-year-old woman has depressed mood, anhedonia, insomnia, low energy, and poor concentration for 2 months. She denies mania, psychosis, substance use, and suicidal intent. She prefers medication. Which of the following is the most appropriate next step in management?

Accepted Answer

Start an SSRI and arrange follow-up

Answer

Start lithium without bipolar features

Answer

Use benzodiazepines as monotherapy

Answer

Start haloperidol depot

Answer

Provide reassurance without treatment

Major depressive disorder — USMLE Step 3 MCQ

A 32-year-old woman has depressed mood, anhedonia, insomnia, low energy, and poor concentration for 2 months. She denies mania, psychosis, substance use, and suicidal intent. She prefers medication. Which of the following is the most appropriate next step in management?