Match each patient's clinical presentation with the most appropriate primary or adjunctive treatment modality.
- A 75-year-old man with severe depressed mood, psychotic features, and life-threatening refusal to eat or drink.Electroconvulsive therapy (ECT)
- A 24-year-old woman presenting with severe depression who reports a past episode of decreased need for sleep, rapid speech, and grandiosity.Quetiapine
- A 32-year-old man with a first episode of moderate major depressive disorder without psychotic features or prior psychiatric history.Selective serotonin reuptake inhibitor (SSRI)
- A 45-year-old woman with a history of depressive episodes that consistently begin in November and resolve by April.Bright light therapy
Answer
The correct matches align the psychotic/food-refusing patient with ECT, the bipolar depression patient with quetiapine, the uncomplicated MDD patient with an SSRI, and the seasonal pattern patient with bright light therapy.
Each treatment is matched to its classic indication: ECT for rapid response in psychotic or life-threatening depression; quetiapine for bipolar depression to avoid SSRI-induced mania; SSRIs for standard major depression; and light therapy for seasonal pattern.
Step-by-Step Solution
Key Concept
Selecting appropriate first-line and specialized treatments for various depressive presentations, including recognizing bipolar depression.