Flashcards in 12) NICE Guidelines Deck (13)
What is the prevalence of depression in women and men?
What is the lifetime risk of depression in women and men?
What did the Layard Report state was needed?
Easy access to self help facilities
5000 extra therapists trained in CBT
GPs do 6 months psychiatry with emphasis on depression and anxiety
What was the function of IAPT?
More people treated and cured from depression and anxiety
More psychological therapists
GP practices having access to therapies
What is step 1 of the stepped care model of depression?
Recognition of symptoms through screening questions
What are the symptoms of depression from CGASPDIE?
Death or suicide ideas
What is step 2 of the stepped care model of depression?
What is step 3 of the stepped care model of depression?
CBT or IPT
Combination if severe
What SSRIs do NICE recommend?
Citalopram and fluoxetine
Sertraline if CV disease
For moderate depression, describe the therapy regime recommended:
16-20 session over 6-9 months
How should chronic depression be treated?
Combined CBT and antidepressant
Rehab if unemployed or socially isolated
What is step 4 of the stepped care model of depression?
Treatment resistant or recurrent:
Combination of CBT and antidepressants