A middle aged man presented with pain in back, lack of interest in recreational activities, low mood, lethargy, decreased sleep and appetite for two months. There was no history suggestive of delusions or hallucinations. He did not suffer from any chronic medical illness. There was no family history of psychiatric illness. Routine investigations including haemogram, renal function tests, liver function tests electrocadiogram did not reveal any abnormality. This patient should be treated with -
High-Yield Explanation
This patient has (for 2 months)
i) Lack of interest
ii) Low mood
iii) Loss of energy / fatigue (lethargy)
iv) Decreased sleep
v) Decreased appetite
Diagnosis is major depression → Antidepressant should be given. Amongst the given options only sertaline is antidepressant.