depression patients

depression patients

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Understanding NICE guidance
Information for people who use NHS services
Treating depression in adults
NICE `clinical This booklet is about the care and treatment of people with depression in
guidelines' advise the NHS in England and Wales. It explains guidance (advice) from NICE (the
National Institute for Health and Clinical Excellence). It is written for people
the NHS on caring
with depression but it may also be useful for their families or carers or for
for people with anyone with an interest in the condition.
specific conditions
The booklet is to help you understand the care and treatment options
or diseases and the that should be available in the NHS. It does not describe depression or
treatments they the treatments for it in detail. A member of your healthcare team should
should receive. discuss these with you. There are examples of questions you could ask
throughout this booklet to help you with this. You can get more
information from the organisations listed on page 23. Technical words
and terms printed in bold type are explained on pages 21­22.
NICE has also produced a booklet called `Treating depression in
adults with a long-term physical health problem' (see
Information about NICE clinical guideline 90
Issue date: October 2009

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Your care 3
Depression 4
What should happen when I first talk to a 5
healthcare professional?
Who will provide my treatment? 7
What treatments should I be offered? 7
Treatments for mild to moderate depression 9
Treatments for moderate or severe depression 13
How can I stay well in the future? 19
Information for families and carers 20
Explanation of technical words and terms 21
More information 23
About NICE 24
This is an update of advice on depression that NICE produced in…read more

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Your care
In the NHS, patients and healthcare professionals have
rights and responsibilities as set out in the NHS Constitution
( All NICE
guidance is written to reflect these. You have the right to be involved in
discussions and make informed decisions about your treatment and care
with your healthcare team. Your choices are important and healthcare
professionals should support these wherever possible. You should be
treated with dignity and respect.…read more

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Depression is a common mental health problem ­ it affects nearly 1 in
6 people in the UK. The main symptoms of depression are losing pleasure
in things that were once enjoyable and losing interest in other people and
usual activities. A person with depression may also commonly experience
some of the following: feeling tearful, irritable or tired most of the time,
changes in appetite, and problems with sleep, concentration and memory.…read more

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Healthcare professionals may use different terms for depression, such as
`major depressive disorder' or `clinical depression'.
Sometimes a person has very few symptoms of depression that don't
affect their life too much in the short term but can do if they continue for
a long time ­ `dysthymia' is a term that is sometimes used when a person
has very few symptoms lasting for 2 years or more.…read more

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Healthcare professionals should be aware of any sensitive issues relating to
being diagnosed with depression and should build a relationship with you
based on openness, trust, hope and optimism. They should explain the
different ways in which depression develops. They should also discuss the
treatments described in this booklet with you and explain that these can
help people to recover from depression. You should also be told about
self-help groups and support groups for people with depression.…read more

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What are my rights regarding my treatment and care?
If you are concerned about not being able to make important decisions
at any time (for instance, if you have severe depression or depression
accompanied by hallucinations and delusions) you can write some
instructions (called advance statements and advance decisions).
The instructions say what treatments and other help you want and do
not want to be given. For example, you may not want to be given a
particular drug because of its side effects.…read more

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If you have both depression and anxiety, you will be treated first for the
one that causes you the most problems. Because treatments for anxiety
and depression are similar, treatment for one condition can often help
the other.
Once you have started treatment, your healthcare professional should
check whether you are feeling anxious or agitated or having thoughts
about suicide. They should make sure you know who to contact for help
if you find these thoughts and feelings distressing.…read more

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Treatments for mild to moderate depression
Mild depression can sometimes get better by itself without treatment or by
following advice from your GP (or other healthcare professional) on coping
with problems and improving sleep. They should offer you advice on going
to bed and getting up at regular times, not eating large meals or smoking
or drinking alcohol just before going to bed, and taking regular exercise
(as this can also improve sleep).…read more

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Initial treatments for mild to moderate depression1
What treatment What does it involve? How long does it usually
have I been offered? last?
Self-help programme A treatment in which a person works through a G Up to 6 to 8 sessions over
book, often called a self-help manual. 9 to 12 weeks.
A healthcare professional will provide support
and check progress either face to face or by phone.
Computerised cognitive A treatment based on cognitive behavioural therapy G Between 9 and 12 weeks.…read more


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