A 22-year-old university student presents with a 2-week history of low mood, anhedonia, poor sleep, reduced appetite, and feelings of worthlessness. S...

Question

A 22-year-old university student presents with a 2-week history of low mood, anhedonia, poor sleep, reduced appetite, and feelings of worthlessness. She has no past psychiatric history. She scores 18 on the PHQ-9 questionnaire. She denies suicidal ideation. According to NICE NG222, what is the most appropriate initial management approach?

Accepted Answer

Offer a low-intensity psychological intervention (e.g., guided self-help)

Answer

Watchful waiting and follow-up in 2 weeks

Answer

Start sertraline 50mg OD

Answer

Referral to secondary care mental health services

Answer

Prescribe diazepam for anxiety

ukmla MCQ (SBA): Mild-Moderate Depression