A 38-year-old woman presents with low mood, anhedonia, poor sleep and impaired functioning for 6 weeks. She denies suicidal intent. There is no histor...

Question

A 38-year-old woman presents with low mood, anhedonia, poor sleep and impaired functioning for 6 weeks. She denies suicidal intent. There is no history of mania or psychosis. What is the most appropriate initial management in general practice?

Accepted Answer

Offer psychological therapy and consider starting an SSRI

Answer

Start long-term benzodiazepine monotherapy

Answer

Prescribe antipsychotic medication

Answer

Arrange electroconvulsive therapy as first-line

Answer

No treatment is needed as symptoms are mild

au-amc MCQ (SBA): Major depressive disorder

A 38-year-old woman presents with low mood, anhedonia, poor sleep and impaired functioning for 6 weeks. She denies suicidal intent. There is no history of mania or psychosis. What is the most appropriate initial management in general practice?