Common Mental Disorders Depression - New Zealand Doctor

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Karin Keith Consumer Perspective Manager, Wellington Mental Health Consumers Union Inc, Wellington Nominated by the Mental Health Consumers Union of New Zealand Associate Professor Ngaire Kerse Senior Lecturer, Division of General Practice and Primary Health Care, University of Auckland, Auckland Invited by NZGG Dr Sally Merry Senior Lecturer in Child & Adolescent Psychiatry, The Werry Centre for Child and Adolescent Mental Health, Department of Psychological Medicine, University of Auckland, Auckland Invited by NZGG Aroha Noema Mäori Perspective Project Leader, Te Rau Matatini, Palmerston North Invited by NZGG Janet Peters Registered Psychologist, Tauranga Nominated by the Mental Health Foundation of New Zealand Carol Seymour Nurse Leader Mental Health Services and Ambulatory Services Auckland District Health Board, Auckland Nominated by the Directors of Mental Health Nursing and Te Ao Maramatanga (College of Mental Health Nurses New Zealand) Claudine Tule Mäori Perspective Project Manager Mäori Health, Funding Division, MidCentral District Health Board, Palmerston North Nominated by Te Rau Matatini Dr Peter Watson Paediatrician and Youth Health Specialist, Whirinaki, Counties Manukau District Health Board Child and Adolescent Mental Health Services, South Auckland Nominated by the Royal Australasian College of Physicians Rebecca Webster Consultant Clinical Psychologist, South Community Mental Health Team, Wellington Nominated by the New Zealand College of Clinical Psychologists x Identification of Common Mental Disorders and Management of Depression in Primary Care
About the guideline Paediatric subgroup Professor Tony Dowell (Chair) Claudine Tule Dr John Cosgriff Dr Peter Watson Dr Sally Merry Older adults subgroup Professor Tony Dowell (Chair) Associate Professor Ngaire Kerse Dr Clive Bensemann Dr John Cosgriff Karin Keith NZGG team Dr Roshan Perera, Manager Guidelines and Research Jane Marjoribanks, Lead Researcher Mark Ayson, Researcher Anne Buckley, Medical Writer/Editor Catherine Coop, Researcher Anita Fitzgerald, Researcher Dr Tannis Laidlaw, Researcher Christina Kinney, Research Administrator Emma Sutich, Mental Health Adviser Declarations of competing interests Professor Bruce Arroll is on the primary care committee of the Future Forum, funded by Astra Zeneca UK and has received financial support to attend the annual conference in Europe for the past four years. Bruce received financial support from the PHARMAC seminar committee to run three CME (continuing medical education) sessions. Dr Sunny Collings has received research funding from the Health Research Council and the Ministry of Health. Dr John Cosgriff has received financial support from Jannsen-Cilag for the Metabolic Symposium Atypical Antipsychotics. Identification of Common Mental Disorders and Management of Depression in Primary Care xi
Page 1: Identification of Common Mental Dis
Page 4 and 5: Statement of intent Evidence-based
Page 6 and 7: Endorsements Te Ao Maramatanga New
Page 8 and 9: 3.6 Clinical features of common men
Page 10 and 11: List of figures 3.1 When to refer a
Page 13 and 14: About the guideline Foreword The Ne
Page 15: About the guideline Guideline devel
Page 19: About the guideline Royal New Zeala
Page 22 and 23: Algorithm 1 Management of depressio
Page 24 and 25: Algorithm 2a Management of severe d
Page 26 and 27: Algorithm 2c Management of mild dep
Page 28 and 29: • limited access to psychiatrists
Page 30 and 31: Asian peoples About 7% of the New Z
Page 32 and 33: 12-month period amongst adults atte
Page 34 and 35: Table 1.2 Prevalence of common ment
Page 36 and 37: 1.4 Etiology of common mental disor
Page 38 and 39: The ‘hopelessness theory’ 94 co
Page 40 and 41: Sexuality Data from the Christchurc
Page 42 and 43: Since those who are affected by sui
Page 44 and 45: 2.3 Managing depression: the steppe
Page 46 and 47: to informed consent. 152 There is a
Page 49 and 50: 3 Recognition and assessment of com
Page 51 and 52: Chapter 3 Recognition and assessmen
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Chapter 3 Recognition and assessmen
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Good practice points Management of
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Box 4.1 Whänau Ora The concept of
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If the young person/rangatahi/tamar
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Exercise There was insufficient evi
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at any timepoint. Treatment as usua
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5 Recognition and assessment of com
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6 Management of depression in adult
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Chapter 6 Management of depression
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Recommendations continued... Women
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during pregnancy, of which up to 6%
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Secondary care evidence Based on ev
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Advice for women It may be helpful
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Social networks appear to be an inf
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eastfeeding, or not breastfeeding,
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This evidence comprised two recent
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There is also some evidence that th
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8 Special issues: older adults/ kor
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Chapter 8 Special issues: older adu
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9 Models of care 9.1 Introduction V
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Chapter 9 Models of care were reduc
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Chapter 9 Models of care • networ
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Chapter 9 Models of care service as
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Quality improvement collaboratives
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NZGG has been funded to develop sum
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Appendix A: Guideline development p
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Appendix B: Evidence and recommenda
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Appendix C: Assessment of suicide r
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Appendix D: Assessment tools for co
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Anxiety Anxiety is often comorbid w
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Appendix F: Self-management resourc
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Information about mental disorders
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Dysthymia Dysthymia is a chronic lo
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Glossary, abbreviations and acronym
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References 1. The MaGPIe Research G
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References 38. Tse S, Tong K, Hong
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References 72. Kendler K, Kuhn J, P
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References 107. Halligan SL, Murray
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References 143. Dejesus RS, Vickers
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References 179. Shaffer D, Scott M,
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References 215. Garralda ME, Bowman
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References 249. Zwaanswijk M, Verha
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References 283. Linde K, Berner M,
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References 318. Henkel V, Mergl R,
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References 353. Rush AJ. STAR*D: wh
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References 386. Ward E, King M, Llo
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References 417. Kirsch I, Deacon BJ
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References 451. Zigmond AS, Snaith
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References 486. Appleby L, Warner R
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References 520. Irwin M, Artin KH,
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References 557. Agnew F, Pulotu-End
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Common Mental Disorders Depression - New Zealand Doctor

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