Question

A 28-year-old woman presents to her GP with low mood, anhedonia, poor sleep and reduced appetite for 6 weeks. She is functioning at work but struggling, and scores 13 on the PHQ-9 (moderate depression). She has no suicidal ideation. What is the most appropriate initial management?

Accepted Answer

Initiate structured psychological therapy such as CBT and schedule close follow-up

Answer

Begin a selective serotonin reuptake inhibitor (SSRI) and review in 6 months

Answer

Arrange urgent psychiatric admission

Answer

Commence a tricyclic antidepressant at night for sleep

Answer

Provide reassurance only and review if symptoms persist for 6 months

Practice question

A 28-year-old woman presents to her GP with low mood, anhedonia, poor sleep and reduced appetite for 6 weeks. She is functioning at work but struggling, and scores 13 on the PHQ-9 (moderate depression). She has no suicidal ideation. What is the most appropriate initial management?