Question

A 45-year-old man presents with low mood, anhedonia, poor sleep, and reduced appetite for 8 weeks. He has no psychotic symptoms or suicide plans but significant functional impairment, having been off work for a month. What is the most appropriate first-line treatment approach?

Accepted Answer

Antidepressant medication plus psychological therapy

Answer

Watchful waiting alone

Answer

Benzodiazepines alone

Answer

Electroconvulsive therapy

Answer

Hospital admission without treatment

Practice question

A 45-year-old man presents with low mood, anhedonia, poor sleep, and reduced appetite for 8 weeks. He has no psychotic symptoms or suicide plans but significant functional impairment, having been off work for a month. What is the most appropriate first-line treatment approach?