Page 66 - Depression in adults: treatment and management

Depression in adults: treatment and management (NG222)

1.10.9 For people with chronic depressive symptoms that have not responded to the

treatments recommended in the sections on further-line treatment and chronic
depressive symptoms, and who are on long-term antidepressant medication:

• review the benefits of treatment with the person

• consider stopping the medication (see the recommendations on stopping
antidepressants)

• discuss with the person possible reasons for non-response and what other treatments
and support (including from other agencies) may be helpful. [2022] [2022]

For a short explanation of why the committee made these recommendations and how they
might affect practice, see the rationale and impact section on chronic depressive symptoms.

Full details of the evidence and the committee's discussion are in evidence review E: chronic

depression.

1.11 1.11 Depression in people with a diagnosis of personality Depression in people with a diagnosis of personality

disorder disorder

1.11.1 Do not withhold treatment for depression because of a coexisting personality
disorder. See the visual summary on treatment of depression with personality
disorder. [2022] [2022]

1.11.2 For people with depression and a diagnosis of personality disorder consider a
combination of antidepressant medication and a psychological treatment (for
example, BA, CBT, IPT or STPP). To help people choose between these
psychological treatments, see the information on them provided in table 1 and

table 2. [2022] [2022]

1.11.3 When delivering antidepressant medication in combination with psychological
treatment for people with depression and a diagnosis of personality disorder:

• give the person support and encourage them to carry on with the treatment

• provide the treatment in a structured, multidisciplinary setting

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