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afya
Mx subthreshold / mild depression
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> NICE 2009 as to severity of depression and any underlying chronic physical disease General Measures Sleep hygiene active monitouring for those not wanting intervention Drugs do not use routinely but consider if - past Hx depression, Sx>2yrs, persistent Sx despite other interventions, chronic physical problem that is exacerbated by mild depression Low Intensity psychosocial inputs may help .... ''Individual guided self help based on CBT principles'' includes behavioural activation and problem solving written or alternative materials with support from trained practitioner who reviews progress, 6-8 face to face or phone sessions over 9-12/52 ''Computerised CBT'' encourage tasks between sessions thought challenging and active monitoring of behaviour looking at thought patterns and outcomes trained counsellor - review progress, outcome over 9-12/52 ''Structured group physical activity'' 3 sessions/wk (45-60mins)over 10-14/52 ''Group based CBT'' eg coping with depression 2 trained, competant practitioners 8-10 participants with 10-12 meetings over 12-16/52 If chronic physical health then group based support - weekly sessions over 8-12/52 Note - behvioural couples therapy for moderate - severe depression - not mild
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Depression