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Depression in adults: treatment and management (NG222)
psychological therapy alone, and no obvious cause can be found and resolved,
discuss further treatment options with the person (including what other
treatments they have found helpful in the past) and make a shared decision on
how to proceed based on their clinical need and preferences. Options include:
• switching to an alternative psychological treatment
• adding an SSRI to the psychological therapy
• switching to an SSRI alone. [2022] [2022]
1.9.5 If a person's depression has had no or a limited response to treatment with
antidepressant medication alone, and no obvious cause can be found and
resolved, discuss further treatment options with the person and make a shared
decision on how to proceed based on their clinical need and preferences.
Options include:
• adding a group exercise intervention
• switching to a psychological therapy (see the suggested treatment options for more
severe depression)
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