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MediumPsychiatryMajor depressive disorderau-amcau-racgp

A 38-year-old man presents to his GP with a 3-month history of low mood, anhedonia, early morning wakening and poor concentration. There is no psychosis, bipolar history or substance misuse. He has passive thoughts that life is not worth living but no plan. According to RANZCP mood disorder guidelines, what is the most appropriate initial management approach?

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