Page 45 - Depression in adults: treatment and management

Depression in adults: treatment and management (NG222)

• use table 2 and the visual summary to guide and inform the conversation

• take into account that all treatments in table 2 can be used as first-line treatments

• reach a shared decision on a treatment choice appropriate to the person's clinical
needs, taking into account their preferences (see also the recommendations on choice
of treatments)

• recognise that people have a right to decline treatment. [2022] [2022]

Table 2 Treatment options for more severe depression in order of the committee's interpretation Table 2 Treatment options for more severe depression in order of the committee's interpretation
of their clinical and cost effectiveness and consideration of implementation factors of their clinical and cost effectiveness and consideration of implementation factors

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

• Sessions with a
therapist provide

immediate support
while the
medication takes
time to work or
medication can be

started
Combination immediately, and
of individual • A combination of • Combines the then CBT started
cognitive individual CBT and a benefits of regular as soon as possible
behavioural course of antidepressant CBT sessions with a afterwards to

therapy (CBT) medication (see details therapist and obtain combined
and an below). medication. effects.
antidepressant
• There may be side
effects from the
medication, and

some people may
find it difficult to
later stop

antidepressant
medication.

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