A 76-year-old woman with a CFS of 4 presents with a 3-month history of persistent low mood following the death of her husband. She meets criteria for ...

Question

A 76-year-old woman with a CFS of 4 presents with a 3-month history of persistent low mood following the death of her husband. She meets criteria for moderate depression (PHQ-9 score 15). She has no suicidal ideation. She is reluctant to take medication. According to NICE CG90, what ALTERNATIVE to pharmacotherapy should be offered?

Accepted Answer

High-intensity psychological therapy such as cognitive behavioural therapy (CBT) or behavioural activation

Answer

No treatment - grief is a normal process and should not be treated

Answer

Referral for electroconvulsive therapy

Answer

Admission to a psychiatric ward

Answer

Bereavement counselling only without formal psychological therapy

uk-dgm MCQ (SBA): Psychological Therapy for Depression in Bereavement