What treatment would you use for this patient?

A 75-yearold man has been attending the clinic for lower urinary tract symptoms. His mood is very low and he is unhappy, anxious and unable to sleep. He has been diagnosed with moderate depression.

What treatment would you use for this patient?
A . Amitryptaline
B . CBT
C . Citalopram
D . Dosulepin
E . Diasepam

Answer: C

Explanation:

Mild depression = CBT, Moderate depression = Antidepressant, Severe depression & Ps = ECT, Amitriptyline and Dosulepine causes urinary retention (which is comparatively less in citalopram) so no a patient with lower urinary symptoms. Hence Citalopram is the preferred option.