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MediumPsychiatryMajor depressive disorderau-racgpau-amc

A 26-year-old woman presents with a 3-month history of low mood, anhedonia, early morning wakening and poor concentration. She denies suicidal ideation. There is no past psychiatric history, and physical examination is unremarkable. She prefers non-pharmacological approaches but is open to medication if needed. According to RANZCP mood disorder guidelines, what is the MOST appropriate initial management?

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