Depression in adults with a chronic physical health problem: new update from NHS Evidence

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NICE published a clinical guideline on the treatment and management of depression in adults with chronic physical health problems in 2009. This new evidence update refreshes that guidance by searching for new systematic reviews and randomised controlled trials on the subject and summarising them in a short (16 page) document. The authors searched a range [read the full story...]

How to diagnose and treat medically unexplained physical symptoms and somatoform disorders

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A multidisciplinary group of Dutch scientists have produced a guideline to help diagnose and treat medically unexplained physical symptoms (MUPS) and somatoform disorders (SD) in primary care, hospitals and occupational health settings. The guideline summarises the best available evidence and attempts to answer 4 key questions, for which the following findings are presented: 1. Preventive [read the full story...]

Self-help interventions are effective treatments for social phobia and panic disorder, says new meta-analysis

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The demand for psychological therapies far outstrips the supply and in this ongoing period of austerity we surely need to produce some cost-effective alternatives. One method that patients can attempt pretty much on their own is self-help provided through books, CDs, DVDs and websites. This new systematic review claims to be the first to bring [read the full story...]

New NICE guide to commissioning mental health services

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NICE have published a new guide to help commissioners, clinicians and managers who commission services for people with common mental health disorders. Here’s the blurb from the NICE press release: Approaching the commissioning of mental health services as part of an integrated care pathway and illustrated with service models, the NICE guide for commissioners identifies [read the full story...]

Stepped care is no better than usual care in treating depression and anxiety in primary care

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There are increasing levels of interest in stepped care models to treat mental health problems in primary care. This randomised controlled trial investigated the effectiveness of a stepped care programme for treating depression and anxiety in 120 adults (aged 18-65 years with minor or major DSM-IV depressive and/or anxiety disorders) in general practice.  Patients were [read the full story...]

Identifying and managing common mental health disorders. New NICE guideline focuses on primary care and the stepped care model.

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NICE have published a new guideline today with the usual collection of supporting documents.  Here’s the blurb from their website: This clinical guideline offers evidence-based advice on the care and treatment of adults who have common mental health disorders, with a particular focus on primary care. It brings together advice from existing guidelines and combines [read the full story...]

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