Question

A 35-year-old woman presents with a 6-week history of fatigue, generalised aches, and difficulty sleeping. She reports feeling low in mood and has lost interest in her usual activities. She scores 15 on the PHQ-9 questionnaire. She has no past psychiatric history and no suicidal ideation. According to NICE CG90, what is the most appropriate initial management strategy?

Accepted Answer

Watchful waiting and arrange a follow-up appointment in 2 weeks

Answer

Offer a high-intensity psychological intervention (e.g., CBT)

Answer

Prescribe a selective serotonin reuptake inhibitor (SSRI)

Answer

Refer to a community mental health team

Answer

Offer a tricyclic antidepressant (TCA)

Practice question