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Updated NICE guidelines on treating depression

NICE - the UK National Institute for Health and Clinical Excellence - recently published guidance on "Depression in adults (update)" and on "Depression with a chronic physical health problem".  The "Depression in adults (update)"  replaces guidance originally published in 2004 and amended in 2007.  The 28 page Quick reference guide provides a helpful overview.  Interestingly NICE here use the DSM-IV diagnostic criteria for depression rather than the ICD-10 criteria (used in their earlier publications).  A four step approach is charted - each step is described both by who the intervention is for (e.g.

Peer groups: Cumbria spring group – cathartic work from the outside

So I wrote yesterday about the cathartic, emotion-focussed work that I went through.  In their classic 1973 book "Encounter groups: first facts"  the authors, Lieberman, Yalom and Miles, describe their major research on the potential benefits of these kinds of groups.  One of their findings was that people who benefited most seemed both to get strongly emotionally engaged with the group and also took time to reflect and make sense of what they had experienced.  In the weekly-format groups I run in Edinburgh, I try to encourage this reviewing process by explaining its value and then askin

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