Page 8 - Depression in adults: treatment and management

Depression in adults: treatment and management (NG222)

• explore treatment choices (see the recommendations on choice of treatments) in an

atmosphere of hope and optimism, explaining the different courses of depression and
that recovery is possible

• be aware that stigma and discrimination can be associated with a diagnosis of
depression

• be aware that the symptoms of depression itself, and the impact of stigma and
discrimination, can make it difficult for people to access mental health services or take
up offers of treatment

• ensure steps are taken to reduce stigma, discrimination and barriers for individuals
seeking help for depression (for example, reducing judgemental attitudes, showing
compassion, parity of esteem between mental illness and physical illness, treating
people as individuals)

• ensure that discussions take place in settings in which confidentiality, privacy and
dignity are respected. [2009, amended 2022] [2009, amended 2022]

Providing information and support Providing information and support

1.1.2 Make sure people with depression are aware of self-help groups, peer support

groups and other local and national resources. Follow the guidance on providing
information in the NICE guideline on service user experience in adult mental
health. [2009, amended 2022] [2009, amended 2022]

1.1.3 Provide people with depression with up-to-date and evidence-based verbal and
written information about depression and its treatment, appropriate to their
language, cultural and communication needs. Follow the sections on
communication and information in the NICE guideline on patient experience in

adult NHS services. [2022] [2022]

Advance decisions and statements Advance decisions and statements

1.1.4 Consider developing advance decisions about treatment choices (including

declining treatment) and advance statements collaboratively with people who
have recurrent severe depression or depression with psychotic symptoms, and
for those who had treatment under the Mental Health Act 2007, in line with the
Mental Capacity Act 2005, and review them regularly. Record the decisions and
statements and include copies in the person's care plan in primary and

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