Question

A 40-year-old with severe depression and psychotic features has been hospitalized. He remains suicidal despite maximum dose of antidepressant for 4 weeks. Next step?

Accepted Answer

Offer ECT (electroconvulsive therapy)

Answer

Switch to anxiolytic medication

Answer

Continue the same regimen indefinitely

Answer

Stop antidepressant and rely on psychotherapy only

Answer

Wait another 4 weeks

Practice question

A 40-year-old with severe depression and psychotic features has been hospitalized. He remains suicidal despite maximum dose of antidepressant for 4 weeks. Next step?