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Handouts & questionnaires for depression information

Here are a few handouts that I've put together over the years to provide background information about depression.  The development & maintenance diagram is probably the handout here that I use most - both to explain issues about depression and also for many other psychological disorders as well. 

Development & maintenance of distressed states - I use this Powerpoint diagram a lot when discussing with people why they are in a distressed state.  The diagram applies to depression but it also applies to nearly all other distressed psychological states as well.  It can be helpful in highlighting the importance of maintaining, precipitating and vulnerability factors.  I also point out that therapeutic gains can be made working with all three of these general sets of factors - for example, emotional processing work for past experience (both precipitating and vulnerability factors) and more standard cognitive-behavioural approaches for maintaining factors. 

Handouts & questionnaires for “outcomes toolkit” (IAPT)

The "Improving Access to Psychological Therapies" (IAPT) initiative is very ambitious and exciting.  It states its principal aim is to support English Primary Care Trusts in implementing "National Institute for Health and Clinical Excellence" (NICE) guidelines for people suffering from depression and anxiety disorders.  IAPT go on to say that "At present, only a quarter of the 6 million people in the UK with these conditions are in treatment, with debilitating effects on society."

One aspect of this carefully planned initiative is strong encouragement to assess and monitor the progress of those who are getting help.  Visiting the IAPT "Outcomes Toolkit and FAQ" web page provides access to several freely downloadable documents.  The emphasis is on good assessment measures that are free to use.  See below:

IAPT Outcomes Toolkit 2008/9 PDF - this 81 page 1.1Mb Adobe PDF is the September 08 version with amended IAPT Paper Based Data Set Questionnaires.

Other anxiety disorders

“ Healthy living has benefits hugely greater than anything medicine can deliver. ” - Bandolier 136, Oxford evidence-based medicine website

Other anxiety disorders include Anxiety Disorders due to a General Medical Condition (where the anxiety is a direct physiological consequence of a general medical condition), Substance-Induced Anxiety Disorder (where the anxiety is directly caused by the physiological effects of a substance - drug of abuse or medication - including prescription use, poisoning, intoxication, or withdrawal), and Anxiety Disorder Not Otherwise Specified (where there is prominent clinically significant anxiety or phobic avoidance that doesn't meet the diagnostic criteria for any other anxiety or adjustment disorder).

Health anxiety disorder and hypochondriasis are typically classified under Somatoform disorders.

Posttraumatic stress disorder

“ Today we can walk around together, talk, eat, and be silent together. Later I believe we'll have the opportunity to act and suffer together. All that is necessary to 'make someone's acquaintance' as they say. ” - Rene Daumal

Posttraumatic stress disorder (PTSD)

Specific phobias

... the current system for bringing promising biomedical research to the bedside is operating at an obsolete level of efficiency, causing great delay, and consequently resulting in the loss of many lives.

- Roger Rosenberg (JAMA 2003;289:1305-6)

Specific phobias

Social anxiety disorder

The past is beautiful because one never realises an emotion at the time.  It expands later, & thus we don't have complete emotions about the present, only about the past.

- Virginia Woolf

Social anxiety disorder

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