A 40-year-old woman returns 4 weeks after starting sertraline for depression. PHQ-9 decreased from 18 to 12. She has mild nausea that is improving

Question

A 40-year-old woman returns 4 weeks after starting sertraline for depression. PHQ-9 decreased from 18 to 12. She has mild nausea that is improving and no suicidal ideation. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Continue treatment and reassess dose and response in several weeks

Answer

Switch to antipsychotic monotherapy

Answer

Avoid measuring symptoms during treatment

Answer

Begin electroconvulsive therapy today

Answer

Stop sertraline immediately because response is incomplete

Depression medication follow-up — USMLE Step 3 MCQ

A 40-year-old woman returns 4 weeks after starting sertraline for depression. PHQ-9 decreased from 18 to 12. She has mild nausea that is improving and no suicidal ideation. Which of the following would you recommend at the follow-up visit?