Question

A 46-year-old woman presents with low mood, anhedonia, early morning waking and reduced appetite for 6 weeks, causing impairment at work. She has no psychotic or bipolar features and no suicidality. According to CANMAT 2023 guidelines, what is the most appropriate first-line treatment approach?

Accepted Answer

First-line SSRI or SNRI plus evidence-based psychotherapy

Answer

Benzodiazepine monotherapy

Answer

Antipsychotic monotherapy

Answer

Electroconvulsive therapy as first-line

Answer

No treatment; monitor only

Practice question

A 46-year-old woman presents with low mood, anhedonia, early morning waking and reduced appetite for 6 weeks, causing impairment at work. She has no psychotic or bipolar features and no suicidality. According to CANMAT 2023 guidelines, what is the most appropriate first-line treatment approach?