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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