Counselling Madrid offers various types of therapy to clients in need of an English speaking therapist. In order to guide clients when making an informed choice, this week I wanted to write about the latest information released by NICE, The National Institute for Health and Clinical Excellence, based in the UK. (these guidelines have previously been published in the magazine for Counselling & Psychotherapy professionals “Therapy Today” – December 2008 issue). NICE have currently published 15 guidelines for the treatment of mental health and behavioural conditions. The following information is a brief summary of these guidelines.
Anxiety
Recommendations are made for both panic disorder and generalized anxiety disorder as follows:
Panic Disorder:
- CBT
- Self help in the form of bibliotherapy
Generalized Anxiety Disorder:
- CBT
- Self-help (bibliotherapy based on CBT principles
Attention deficit hyperactivity disorder (ADHD)
The ADHD guideline focuses on treatment for pre-schoolchildren, school-age children and adults:
- Group based parent-training/education programmes (CBT and/or social skills training)
- Individual based psrent training/education programmes
- Individual psychological interventions (CBT or social skills training)
- Group or individual CBT
Bipolar disorder
The guideline for bipolar disorder includes a number of recommendations for psychological therapies, including:
- Individual psychological therapy
- Structured psychological therapy
- Psychological treatment
- CBT
- Counselling (for women with unplanned pregnancy)
- Psychosocial intervention (psychoeducation and motivational enhancement)
- Self-help approaches (CCBT)
- Brief psychologival interventions
- Focused family interventions
Dementia
The guideline for dementia recommends:
- Psychological therapy (including CBT)
- Structured group cognitive stimulation programme
- Psychoeducation
- Genetic counselling
Depression
Psychological interventions feature in several of the key steps for the treatment of depression. Within step two, for the treatment of mild depression, the folowing treatments are recommended:
- Self-help based on CBT
- Brief psychological treatment – such as problem solving therapy, brief CBT and counselling.
In both mild and moderate depression, psychological treatment specifically focused on depression, such as problem-solving therapy, brief CBT and counselling, of six to eight sessions over ten to twelve weeks should be considered. Within step three, for moderate to severe depression, the folowing treatments are recommended:
- CBT (the guidelines states it should not be offered to patients with moderate or severe depression who do not take or who refuse antidepressant treatment)
- IPT if the patient expresses a preference for it or if, in the view of the healthcare professional, the patient may benefit from it. However, for moderate, severe and treatment-resistant depression, the treatment of coice is CBT
- Couple-focussed therapy for patients who have a regular partner and who have not benefited from a brief individual intervention
- Psychodynamic psychotherapy for the treatment of the complex comorbidities that may be present along with depression. In step four, CBT and mindfullness-based CBT are recommended.
Depression in children and young people
to be continued shortly
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