A 45-year-old man presents with low mood, anhedonia, early morning waking and poor appetite for 8 weeks. There is no psychosis or active suicidal inte...

Question

A 45-year-old man presents with low mood, anhedonia, early morning waking and poor appetite for 8 weeks. There is no psychosis or active suicidal intent, and symptoms are of moderate severity. According to NICE, what is the most appropriate initial treatment in primary care?

Accepted Answer

Start a selective serotonin reuptake inhibitor and offer psychological therapy

Answer

Watchful waiting without active treatment

Answer

Prescribe a benzodiazepine for 4 weeks

Answer

Refer urgently to crisis team

Answer

Start antipsychotic medication

uk-plab-1 MCQ (SBA): Moderate depression – initial management

A 45-year-old man presents with low mood, anhedonia, early morning waking and poor appetite for 8 weeks. There is no psychosis or active suicidal intent, and symptoms are of moderate severity. According to NICE, what is the most appropriate initial treatment in primary care?