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ModeratePsychiatryMajor depressive disorderuk-plab-1

A 23-year-old woman presents with a 3-month history of low mood, anhedonia, poor sleep, and reduced appetite. She continues to work but has difficulty concentrating. PHQ-9 suggests moderate depression. There is no suicidality, no psychosis, and no past history of depression. What is the most appropriate first-line management in primary care?

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