A 42-year-old man with chronic alcohol use presents with depressed mood, insomnia, poor concentration, and anhedonia for 3 weeks. He drinks 6-8 beers ...

Question

A 42-year-old man with chronic alcohol use presents with depressed mood, insomnia, poor concentration, and anhedonia for 3 weeks. He drinks 6-8 beers daily and has done so for several years. According to CANMAT guidelines, which statement best describes first-line management?

Accepted Answer

Address alcohol use and mood concurrently, including psychosocial interventions and consideration of antidepressant therapy

Answer

Start antidepressant pharmacotherapy immediately without addressing alcohol use

Answer

Focus on treating alcohol use disorder and delay depression assessment

Answer

Recommend only self-help resources and review in one year

Answer

Admit for compulsory detoxification and ECT

ca-mccqe1 MCQ (SBA): Depression with alcohol use disorder

A 42-year-old man with chronic alcohol use presents with depressed mood, insomnia, poor concentration, and anhedonia for 3 weeks. He drinks 6-8 beers daily and has done so for several years. According to CANMAT guidelines, which statement best describes first-line management?