MediumPsychiatryModerate major depressive disorder - initial managementau-racgpau-amc
A 17-year-old girl presents with persistent low mood, anhedonia, sleep disturbance and impaired school performance for 3 months. There is no psychosis, substance misuse or high suicide risk, but she meets criteria for moderate major depressive disorder. What is the most appropriate first-line management approach in general practice?