Question

A 45-year-old man experiences low mood, anhedonia, and lethargy for 6 weeks. He has had thoughts of self-harm. Which is the most appropriate initial management if he has no psychotic features and is moderate depressed?

Accepted Answer

Start high-intensity psychological therapy plus SSRI

Answer

Immediate electroconvulsive therapy (ECT)

Answer

Routine self-help resources

Answer

Switch to antipsychotics

Answer

Prescribe benzodiazepines only

Practice question

A 45-year-old man experiences low mood, anhedonia, and lethargy for 6 weeks. He has had thoughts of self-harm. Which is the most appropriate initial management if he has no psychotic features and is moderate depressed?