A 31-year-old primary school teacher has felt low, flat and tearful for seven weeks. She still gets to work ev…

Question

A 31-year-old primary school teacher has felt low, flat and tearful for seven weeks. She still gets to work every day but finds preparing lessons harder than usual and has stopped going to choir. She sleeps a little less well than she used to, her weight is unchanged, and she has no thoughts of self-harm. There is no past psychiatric history, no family history and no recent change in medication; she drinks four standard drinks a week. Her thyroid function is normal. She asks whether she needs to…

Accepted Answer

Cognitive behavioural therapy

Answer

Advice on exercise and sleep, reviewing in six weeks

Answer

Cognitive behavioural therapy plus sertraline

Answer

Referral to a psychiatrist

Answer

Sertraline

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