Question

A 35-year-old man presents with low mood, anhedonia, early morning waking and poor concentration for 2 months. He has no suicidal ideation and is still at work but struggling. A validated questionnaire score indicates moderate depression. What is the most appropriate initial management?

Accepted Answer

Offer a low-intensity psychological intervention such as guided self-help or CBT-based group therapy

Answer

Immediate referral to the crisis resolution team

Answer

Start high-dose Sertraline immediately and arrange monthly review

Answer

Prescribe Benzodiazepines for 3 months

Answer

No treatment; advise him to return only if he becomes suicidal

Practice question

A 35-year-old man presents with low mood, anhedonia, early morning waking and poor concentration for 2 months. He has no suicidal ideation and is still at work but struggling. A validated questionnaire score indicates moderate depression. What is the most appropriate initial management?