Page 13 - Depression in adults: treatment and management

Depression in adults: treatment and management (NG222)

• if needed, adjust the method of delivery or length of the intervention to take account

of the person's ability to communicate, disability or impairment.

For people with depression who also have dementia, see the section on depression and
anxiety in the NICE guideline on dementia. [2009, amended 2022] [2009, amended 2022]

1.3 1.3 Choice of treatments Choice of treatments

1.3.1 Discuss with people with depression:

• what, if anything, they think might be contributing to the development of their

depression (see recommendation 1.2.7)

• whether they have ideas or preferences about starting treatment, and what treatment

options they have previously found helpful or might prefer

• their experience of any prior episodes of depression, or treatments for depression

• what they hope to gain from treatment. [2022] [2022]

1.3.2 Allow adequate time for the initial discussion about treatment options, and
involve family members, carers or other supporters if agreed by the person with
depression. [2022] [2022]

1.3.3 Help build a trusting relationship with the person with depression and facilitate
continuity of care by:

• ensuring they can see the same healthcare professional wherever possible

• recording their views and preferences so that other practitioners are aware of these
details. [2022] [2022]

1.3.4 Discuss with people with depression their preferences for treatments (including
declining an offer of treatment, or changing their mind once a treatment has

started) by providing:

• information on what treatments are NICE-recommended, their potential benefits and

harms, any waiting times for treatments, and the expected outcomes (see table 1 and
table 2 on the recommended treatments for a new episode of less severe and more
severe depression)

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