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Depression in adults: treatment and management (NG222)



         Table 1 Treatment options for less severe depression in order of the committee's interpretation of Table 1 Treatment options for less severe depression in order of the committee's interpretation of
         their clinical and cost effectiveness and consideration of implementation factors their clinical and cost effectiveness and consideration of implementation factors


                                                                                          Other things to Other things to
          Treatment Treatment   How is this delivered? How is this delivered?   Key features Key features
                                                                                          think about think about



                                                                                           •  May suit people
                                                                                              who do not like
                                                                                              talking about
                                                                                              their

                             •  Printed or digital materials                                  depression in a

                                that follow the principles of                                 group.
                                guided self-help including                                 •  Needs self-
                                structured cognitive           •  Focuses on how              motivation and
                                behavioural therapy (CBT),        thoughts, beliefs,          willingness to
                                structured behavioural            attitudes, feelings and     work alone

                                activation (BA), problem-         behaviour interact,         (although
                                solving or psychoeducation        and teaches coping          regular support
                                materials. These can be           skills to deal with         is provided).

          Guided self-          delivered in person, by           things in life
          help                  telephone, or online.             differently.             •  Allows
                                                                                              flexibility in
                             •  Support from a trained         •  Goal-oriented and           terms of fitting
                                practitioner who facilitates      structured.                 sessions in
                                the self-help intervention,                                   around other
                                encourages completion and      •  Focuses on resolving        commitments.
                                reviews progress and              current issues.

                                outcomes.                                                  •  Need to
                                                                                              consider
                             •  Usually consists of 6 to 8                                    access, and

                                structured regular sessions.                                  ability to

                                                                                              engage with
                                                                                              computer
                                                                                              programme for
                                                                                              digital formats.













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