A 52-year-old woman presents with a 3-month history of low mood, anhedonia, early morning awakening and poor concentration. She continues to work but ...

Question

A 52-year-old woman presents with a 3-month history of low mood, anhedonia, early morning awakening and poor concentration. She continues to work but with difficulty. She denies suicidal ideation. There is no history of mania or psychosis. According to CANMAT guidelines, what is an appropriate first-line treatment?

Accepted Answer

Cognitive behavioural therapy and or a selective serotonin reuptake inhibitor

Answer

Tricyclic antidepressant alone

Answer

Antipsychotic monotherapy

Answer

Benzodiazepine monotherapy

Answer

Electroconvulsive therapy as first-line

ca-mccqe1 MCQ (SBA): Major depressive disorder