Recommended for children with mild depression



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NICE issues outline guidance on first-line treatment

Adrian O & # 39; Dowd

Thursday, January 24, 2019

Children and young people may be offered digital cognitive-behavioral therapy (digital CBT, also known as computer CBT) as a first-line treatment for mild depression, according to NICE.

NICE has published a draft guideline in which GPs may consider referring children and young people to this form of treatment.

The digital CBT is provided on cell phones, tablets or computers, which means that users can access help quickly, avoiding waiting lists. Group CBT, group interpersonal psychotherapy and group mindfulness are also recommended as first-line treatments.

The draft of the recommendation was made in a quick update of the existing NICE guideline on depression in children and young people aged five to 18 years.

The new guideline says that the choice of treatment should be based on clinical need and patient and caregiver preferences, and physicians should also consider the history, circumstances and maturity of the young person.

General practitioners may also consider referring young people with continuous mild depression, but without significant comorbid problems or suicidal thoughts for group therapy (CBT or interpersonal psychotherapy) or mindfulness.

If there was little response to psychological treatment after two to three months in the affected youngsters, GPs might consider referral for review by a CAMHS (mental health services for children and adolescents) team.

Paul Chrisp, director of the NICE Guidelines Center, said: "In this update of our guideline on depression in children, we reviewed the evidence for the most effective psychological interventions for children and youth with depression. Updating the guidelines emphasizes the importance of the personal choice of a child or young person receiving treatment for depression.

"We want to ensure that children receive a range of therapies suited to their needs and that individual preferences are placed at the center of their care. Evidence has shown that digital CBT and group therapy have been more effective in reducing depressive symptoms and we recommend them as first-line options for children and young people with mild depression. "

Claire Murdoch, National Director of Mental Health at NHS England, said: "Given the rapidly evolving technology and the fact that young people are often at the forefront of this change, updating this guidance project is another step forward.

"Online and digital interventions can play an effective and important role in treatment, particularly when supported by face-to-face support, and the NHS Long-Term Plan makes it clear that the health service will continue to seek to reap the benefits that these advances can bring. .

The guideline is available for consultation until February 20.

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