A 35-year-old woman presents with a 3-month history of low mood, anhedonia, early morning wakening and feelings of worthlessness. She has no psychotic...

Question

A 35-year-old woman presents with a 3-month history of low mood, anhedonia, early morning wakening and feelings of worthlessness. She has no psychotic features or active suicidal intent but significant functional impairment. What is the most appropriate initial management?

Accepted Answer

Offer either high-intensity psychological therapy (CBT) or an SSRI as part of a shared decision

Answer

Watchful waiting only

Answer

Offer guided self-help alone

Answer

Prescribe benzodiazepines as first-line

Answer

Refer immediately for ECT

uk-plab-1 MCQ (SBA): Major depressive disorder

A 35-year-old woman presents with a 3-month history of low mood, anhedonia, early morning wakening and feelings of worthlessness. She has no psychotic features or active suicidal intent but significant functional impairment. What is the most appropriate initial management?