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Primary care research
Depression in primary care: three key challenges
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  • Published on: 13 March 2009
    Authors' response
    • Amanda C Howe, Professor of Primary Care
    • Other Contributors:
      • Professor Helen Lester, University of Manchester

    Jewkes highlights key issues in both diagnosis and management. Questionnaires in common use in UK primary care can help to support the decision to offer pharmacological treatments, but work in press suggests that the relationship between symptoms, scores, and treatment decisions are complex, especially in the elderly and those with co-morbidities(1). Patients find the use of questionnaires can be helpful in verifying the...

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    Conflict of Interest:
    None declared.
  • Published on: 12 March 2009
    Non=pharmacological Treatment of Depression in Primary Care- A Real Issue

    Many thanks to Lester and Howe for their overview of current guidelines for the treatment of mild-moderate depression in primary care (1).

    Having recently worked in primary care, I also found difficulty in accessing non-pharmacological treatments for depression in a suitable timescale. Often patients were faced with a wait of many weeks to see the local practice counsellor or for a psychology referral to come t...

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    Conflict of Interest:
    None declared.