IAPT: does improved access lead to increased complexity?


Mark Smith presents the early findings of the PROMPT naturalistic cohort study, which looks at the clinical characteristics of patients assessed within an Improving Access to Psychological Therapies (IAPT) service.

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Combining psychotherapy and antidepressants is best for common mental illnesses


Patrick Kennedy-Williams summarises a recent meta-analysis, which finds that combined treatment with psychotherapy and antidepressants is more effective than treatment with antidepressants alone.

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SSRIs and TCAs are equally effective at treating chronic depression, but SSRIs have fewer side effects

Tightrope walker

Major depression all too often develops a chronic course, with every episode making future relapse more likely (Gilmer et al., 2005). Dysthymic disorders represent a less severe, but more persistent form of depression lasting for at least two years. In the affective disorder spectrum, chronic forms are unsurprisingly associated with greater functional impairment and overall [read the full story…]