CG123 Common mental health disorders - National Institute for ...

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Further assessment of risk and need for treatment, and routine outcome monitoringTable 27: (Continued)Post-traumaticStress Disorder(NICE, 2005b)The severity of the initial traumatic response isreasonable indicator of the need for early aintervention.Where symptoms are mild and have been present for lessthan 4 weeks after the trauma, watchful waiting, as a wayof managing the difficulties presented by people withPTSD, should be considered. A follow-up contact shouldbe arranged within 1 monthTrauma-focused CBT should be offered to those withsevere post-traumatic symptoms or with severe PTSD inthe first month after the traumatic event. These treatmentsshould normally be provided on an individual outpatientbasisTrauma-focused CBT should be offered to those withsevere post-traumatic symptoms or with severe PTSD inthe first month after the traumatic event. These treatmentsshould normally be provided on an individual outpatientbasis.Consider extending the duration of treatment beyond 12sessions if several problems need to be addressed in thetreatment of PTSD, particularly after multiple traumaticevents, traumatic bereavement, or where chronic disabilityresulting from the trauma, significant comorbid disordersor social problems are present.For people with PTSD who have no or only limitedimprovement with a specific trauma-focused psychologicaltreatment, healthcare professionals should considerthe following options:• an alternative form of trauma-focused psychologicaltreatment with a course of pharmacologicaltreatment.For people with PTSD whose assessment identifies ahigh risk of suicide or harm to others, healthcareprofessionals should first concentrate on managementof this risk153
Further assessment of risk and need for treatment, and routine outcome monitoringTable 28: Preliminary summary and synthesis of selected text fromrecommendations relating to disorder subtype (by guideline) to support theprocess of adoption and adaptationGuidelineAlcohol-use Disorders(NICE, 2011b)Antenatal and PostnatalMental Health (NICE, 2007a)(For common mental healthdisorders only)Depression (NICE, 2009a)Depression in Adults with aChronic Physical HealthProblem (NICE, 2009b)Drug Misuse: OpioidDetoxification (NICE, 2007c)Drug Misuse: PsychosocialInterventions (NICE, 2007b)Generalised Anxiety Disorderand Panic Disorder (with orwithout Agoraphobia) inAdults (NICE, 2011a)(GAD)Obsessive-compulsiveDisorder (NICE, 2005a)Post-traumatic StressDisorder (NICE, 2005b)RecommendationNone identifiedNone identifiedDo not routinely vary the treatment strategiesfor depression described in this guideline bydepression subtype (for example, atypicaldepression or seasonal depression) as there isno convincing evidence to support such action.Advise people with winter depression thatfollows a seasonal pattern and who wish to trylight therapy in preference to antidepressant orpsychological treatment that the evidence forthe efficacy of light therapy is uncertain.None identifiedNone identifiedNone identifiedNone identifiedFor adults with obsessive thoughts who do nothave overt compulsions, CBT (includingexposure to obsessive thoughts and responseprevention of mental rituals and neutralisingstrategies) should be considered.None identified154
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Commonmental healthdisordersTHE NIC
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© The British Psychological Societ
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Contents6 FURTHER ASSESSMENT OF RIS
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Guideline development group members
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Preface1 PREFACEThis guideline has
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Prefacecollaborative manner using t
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PrefaceThe experience of people wit
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Common mental health disorders2.2 T
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Common mental health disordersto ho
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Common mental health disordersManua
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Common mental health disordershighe
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Common mental health disordersNegat
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Common mental health disorderscours
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Common mental health disordersover
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Common mental health disorders2.2.6
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Common mental health disordersTable
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Common mental health disorders1996)
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Common mental health disordersSumma
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Common mental health disordersTable
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Common mental health disordersappli
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Common mental health disorderspatie
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Methods used to develop this guidel
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Access to healthcare4. ACCESS TO HE
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Access to healthcareunder the Menta
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Access to healthcare4.2.3 Studies c
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Access to healthcareIndividual-leve
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Access to healthcareJUNG2003 review
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Access to healthcareSCHEPPERS2006).
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Access to healthcare70Table 8: Clin
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Access to healthcareTable 9: Study
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Access to healthcareCHAPMAN2004 inc
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Access to healthcare4.4 SERVICE DEV
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Access to healthcareBEACH2006 [Beac
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Access to healthcareTable 12: Summa
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Access to healthcareAll studies wer
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Access to healthcarepractitioners h
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Access to healthcareIndividual-leve
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Access to healthcarefrom such popul
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Access to healthcarestructure and d
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Case identification and formal asse
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Page 103 and 104: Case identification and formal asse
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Systems for organising and developi
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Summary of recommendations8.1.1.6 S
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Summary of recommendationsFigure 12
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Summary of recommendations●Genera
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Summary of recommendations8.4 STEPS
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Summary of recommendations●●a g
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Summary of recommendationsDiscuss w
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Summary of recommendationsinclude p
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Appendices9 APPENDICESAppendix 1: S
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Appendix 1of a depressive disorder
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Appendix 1b) Assessment of anxiety
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Appendix 2APPENDIX 2:DECLARATIONS O
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Appendix 2Mr Mike BessantEmployment
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Appendix 2Personal non-pecuniary in
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Appendix 2Actions takenMr Rupert Su
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Appendix 2Personal family interestN
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Appendix 3APPENDIX 3:STAKEHOLDERS A
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Appendix 4ClinicalpopulationPeople
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Appendix 4Case identificationNo. Pr
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Appendix 5APPENDIX 5:REVIEW PROTOCO
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Appendix 7APPENDIX 7:METHODOLOGY CH
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Appendix 9APPENDIX 9:METHODOLOGY CH
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Appendix 92.10 Are all important pa
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Appendix 9case also excludes costs
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Appendix 9For consistency, the EQ-5
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Appendix 9Answer ‘yes’ if the a
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Appendix 9Answer ‘yes’ if the e
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Appendix 9Answer ‘yes’ if appro
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Appendix 10APPENDIX 10: EVIDENCE TA
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Appendix 11APPENDIX 11:HIGH PRIORIT
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Appendix 11discussion of options bu
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Appendix 13APPENDIX 13:GENERALIZED
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ReferencesAndlin-Sobocki, P., Jöns
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ReferencesBower, P., Gilbody, S., R
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ReferencesCooper, S., Smiley, E., M
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ReferencesEhlers A., Gene-Cos N. &
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ReferencesGiles, D. E., Jarrett, R.
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ReferencesHorowitz, M. J., Wilner,
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ReferencesKnapp, M. & Ilson, S. (20
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ReferencesMarks, J., Goldberg, D. P
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ReferencesNCCMH (forthcoming) Self-
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ReferencesOzer, E. J., Best, S. R.,
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ReferencesSartorius, N. (2002) Eine
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ReferencesTiemens, B. G., Ormel, J.
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ReferencesWilkinson, M. J. B. & Bar
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Glossarybeliefs and interpretations
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Glossaryto learn to become more awa
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Abbreviations12 ABBREVIATIONSADDADS
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AbbreviationsOASISOCDONSORPHQ (-A,
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