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Draft SIGN non-pharmacological depression treatments guideline, 7th post: effectiveness of psychological therapies 2

This is the 7th blog post in a series reviewing the recent Scottish Intercollegiate Guideline Network's (SIGN) draft guideline for "Non-pharmacological management of depression".  I gave more background details in the first post of the series.  This post covers the third session of the guideline presentation seminar.  The session was entitled "Effectiveness of psychological therapies in depression 2" and there were three speakers.  Professor Kevin Power, Area Head of Psychological Therapies, NHS Tayside, talked about "Counselling, marital, family and reminiscence therapy".  Kevin said there were comparatively few good randomized controlled trials on counselling interventions specifically for patients diagnosed with major depressive disorder.  SIGN gave a Grade

Draft SIGN non-pharmacological depression treatments guideline, 4th post: light, lifestyle & sleep

The SIGN draft guideline day on "Non-pharmacological management of mild to moderate depression" last Wednesday continued with two further presentations in this first section on "Lifestyle and Alternative/Complementary Therapies 1".  After the "grade A" recommendations on exercise and St John's Wort given during the first two presentations (covered in the two previous blog posts), the rest of this section felt a bit of an anticlimax.

Draft SIGN non-pharmacological depression treatments guideline, 3rd post: herbs & supplements

This is the third in a series of blog posts on last Wednesday's SIGN draft guideline seminar on "Non-pharmacological management of mild to moderate depression."  The first session of the day was on "Lifestyle and Alternative/Complementary Therapies 1".  Yesterday's blog discussed the first presenter, Ian Ross's talk on the value of exercise in depression.  The second presentation was by Cliff Sharp, a psychiatrist from NHS borders.  He reviewed St John's Wort & Dietary Supplements.  He talked about the possible value of folate in treating depression when used to supplement conventional antidepressants.  He concluded that current evidence was insufficient to determine whether folate boosts response for those on antidepressants only if their initial folate levels are low, or whether it boosts response for anyone taking antidepressants.  See an

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