Common mental health disorders

25th June 2011 by Louise Hudman

This is mainly an amalgamation of advice about spotting, assessing and managing people with common mental health disorders. There is little that I could spot that was new, apart from encouraging use of the GAD2 questionnaire in screening for anxiety:

  • During the past four weeks, have you been bothered by feeling worried, tense or anxious most of the time?
  • Are you frequently tense, irritable and having trouble sleeping?

As a quick reminder – obviously tailoring to the individual!

  • OCD – self-help CBT, or referral for CBT. Medication if this has failed.
  • PTSD – refer all but mild cases straight away. Mild cases could be watched for a month, unless their symptoms are worsening.
  • Depression – guided self-help first, then refer for CBT. Medication should be reserved for where the above hasn’t worked, or where symptoms are persistent for more than 2 yrs, or are severe or affecting their physical health.
  • Anxiety – Self-help first, then referral for CBT or drug treatment, whichever is preferred.

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