Question

A 45-year-old woman presents to her family doctor with low mood, anhedonia, poor concentration, and early morning wakening for 2 months. She has no psychotic features or high suicide risk. According to the CANMAT depression guideline, what is the most appropriate first-line management strategy?

Accepted Answer

Selective serotonin reuptake inhibitor and/or evidence-based psychotherapy

Answer

Psychoeducation and watchful waiting for 6 months

Answer

Tricyclic antidepressant as first-line pharmacotherapy

Answer

Long-term benzodiazepines alone

Answer

Electroconvulsive therapy as first-line treatment

Practice question

A 45-year-old woman presents to her family doctor with low mood, anhedonia, poor concentration, and early morning wakening for 2 months. She has no psychotic features or high suicide risk. According to the CANMAT depression guideline, what is the most appropriate first-line management strategy?