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Adolescent depression — USMLE Step 3 MCQ

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ModeratePediatrics (well-child, chronic management)Adolescent depressionUSMLE Step 3

A 15-year-old girl has 2 months of depressed mood, anhedonia, poor sleep, and passive thoughts of death without plan or intent. She has supportive parents and no psychosis or mania. Which of the following is the most appropriate at this time?

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Correct answer: D — Assess safety, start evidence-based psychotherapy, and consider SSRI treatment

Adolescent depression requires suicide risk assessment and evidence-based treatment such as CBT or interpersonal therapy, with SSRI consideration depending on severity.

Reference: American Academy of Pediatrics clinical practice guidance and Bright Futures preventive care