Psychotherapy for depression in primary care. Better evidence please…

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Andrew Shepherd summarises a recent systematic review of the effectiveness of psychotherapy for depression in primary care, which contains a lot of data but leaves him feeling rather deflated.

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Interpersonal therapy and imipramine may be effective at reducing suicidal ideation in depression, but more research needed

Susie Johnson considers how effective conventional depression treatments are at reducing suicidal ideation in depression. The new study she summarises concludes that interpersonal therapy and antidepressants can also reduce suicidal ideation.

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Interpersonal counselling for depression: RCT shows some promise

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Mark Smith summarises an RCT which compares SSRI antidepressants with interpersonal counselling for depression. The trial explores moderators of remission with interpersonal counselling or drug treatment in primary care patients with mild-moderate depression.

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More frequent psychotherapy may lead to better depression outcomes, says new meta-analysis

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Psychological therapies such as cognitive behaviour therapy, interpersonal psychotherapy, behavioural activation, problem-solving and possibly psychodynamic therapy have been clearly shown to be effective in the treatment of adult depression. However it is not clear, how long such a therapy should last, how many sessions are optimal and what the best intensity of psychotherapy is. A [read the full story…]

Psychosocial and psychological interventions can prevent postpartum depression, says new Cochrane review

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The period after giving birth to a child can be difficult for women and in the first twelve weeks after childbirth 13-19% of women will experience post-partum depression (O’Hara 1996, Gaynes 2005). Post-partum depression is bad news – not only does it increase the chance of the mother going onto develop a severe clinical depression [read the full story…]

So many treatments for major depression to choose from. How does individual interpersonal psychotherapy compare to the rest?

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Talking therapies for mental disorders are an ever-expanding field, with variations in treatments appearing all the time. It can be hard to know which treatment path to recommend to a patient, or which one you might choose for yourself. Major depressive disorder (MDD) is characterised by episodes of low mood, loss of self-esteem and interest [read the full story…]

Different types of psychotherapy for different types of depression: a summary of best current knowledge

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Mental Elf readers have been voting for their favourite topics and top of the list at present are psychological therapies and depression. Us elves like to give people what they want, so here’s a review conducted by researchers in the Netherlands that summarises what we know about the effectiveness of different types of psychotherapy in [read the full story…]