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Flashcards in 12) NICE Guidelines Deck (13):
1

What is the prevalence of depression in women and men?

Women: 4-10%
Men: 2-3.5%

2

What is the lifetime risk of depression in women and men?

Women: 10-26%
Men: 5-12%

3

What did the Layard Report state was needed?

Easy access to self help facilities
5000 extra therapists trained in CBT
More psychiatrists
GPs do 6 months psychiatry with emphasis on depression and anxiety

4

What was the function of IAPT?

More people treated and cured from depression and anxiety
More psychological therapists
GP practices having access to therapies

5

What is step 1 of the stepped care model of depression?

Recognition of symptoms through screening questions

6

What are the symptoms of depression from CGASPDIE?

Concentration difficulties
Guilt
Appetite changes
Sleep disturbance
Psychomotor retardation
Death or suicide ideas
Interest loss
Energy loss

7

What is step 2 of the stepped care model of depression?

Mild:

Computerised CBT
Watchful waiting
Self help
Counselling

8

What is step 3 of the stepped care model of depression?

Moderate:

SSRI
CBT or IPT
Combination if severe

9

What SSRIs do NICE recommend?

Citalopram and fluoxetine
Sertraline if CV disease

10

For moderate depression, describe the therapy regime recommended:

16-20 session over 6-9 months

11

How should chronic depression be treated?

Combined CBT and antidepressant
Rehab if unemployed or socially isolated

12

What is step 4 of the stepped care model of depression?

Treatment resistant or recurrent:

Combination of CBT and antidepressants
Lithium
Venlafaxine

13

What is step 5 of the stepped care model of depression?

Risk to life:

ECT