Depression in adults: discussing first-line treatments for less severe depression

Discuss treatment Treatment options

options and match the are listed in order
Short-term
choice of treatment of recommended
psychodynamic Guided self-help
to clinical needs and psychotherapy use, based on
preferences, taking the committee’s
into account that any interpretation of
option can be used as Group their clinical and
first line, but consider cognitive cost effectiveness
Counselling
the least intrusive behavioural and consideration
and least resource therapy of implementation
intensive treatment first factors.
(guided self-help).

Group
If the person has a SSRI
behavioural
clear preference, antidepressants
activation
or experience from
previous treatment to
use as a guide:
support the person’s
choice, unless there Individual
are concerns about Interpersonal cognitive
suitability for this psychotherapy behavioural
episode of depression. therapy

Do not routinely offer Group Individual

antidepressants as mindfulness and behavioural
meditation activation
a first-line treatment,
Group exercise
unless that is the
person’s preference.
Use this summary in conjunction with table 1 in the
NICE guideline on depression in adults: treatment and management.
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