IAPT: does improved access lead to increased complexity?

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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

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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

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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…]