Non-pharmaceutical management of depression in adults
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About Non-pharmaceutical management of depression in adults
Non-pharmaceutical management of depression in adults: Depression Alliance Scotland proposed the development of this guideline based on feedback from service users who were seeking information about interventions, other than prescribed antidepressants, which could be helpful in treating depression. This highlighted the need for accessible and robust information about the alternatives to prescribed antidepressants to be available to both GPs and service users.
The Scottish Integrated Care Pathway (ICP) for depression sets standards for appropriate care and treatment of people with depression. This includes a standard that requires an offer of matched self-help and signposting to other services. It also states that for those who choose a non-pharmacological approach, or for whom medication is not effective, there should be the offer of a brief depression-focused psychological intervention.
A small qualitative primary care study (n=60) of patients with depression found that almost two-thirds had attempted to use self-chosen therapies, although few had discussed their use with health practitioners. A broad range of therapies was identified. The most commonly reported were St John’s wort, counseling, relaxation tapes, and gym, walking, or other leisure interests.
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