Question

A 22-year-old university student presents with low mood, anhedonia and fatigue for 3 months. He is able to attend lectures but has stopped socialising. PHQ-9 score indicates moderate depression. There is no active suicidal ideation. What is the most appropriate initial management in primary care?

Accepted Answer

Offer guided self-help and consider starting an SSRI after discussing options.

Answer

Offer high-intensity CBT and start an SSRI such as Sertraline.

Answer

Prescribe a tricyclic antidepressant such as Amitriptyline.

Answer

Refer urgently to crisis mental health services.

Answer

Advise watchful waiting for 3 months without active treatment.

Practice question

A 22-year-old university student presents with low mood, anhedonia and fatigue for 3 months. He is able to attend lectures but has stopped socialising. PHQ-9 score indicates moderate depression. There is no active suicidal ideation. What is the most appropriate initial management in primary care?