Dating a person with severe depression

When the person has an anxiety disorder and comorbid depression or depressive symptoms, consult the NICE guideline for the relevant anxiety disorder (see find guidance) and consider treating the anxiety disorder first (since effective treatment of the anxiety disorder will often improve the depression or the depressive symptoms).

Take into account both the degree of functional impairment and/or disability associated with the possible depression and the duration of the episode.All interventions for depression should be delivered by competent practitioners.Psychological and psychosocial interventions should be based on the relevant treatment manual(s), which should guide the structure and duration of the intervention.Moderate depression: Symptoms or functional impairment are between 'mild' and 'severe'.Severe depression: Most symptoms, and the symptoms markedly interfere with functioning. Note that a comprehensive assessment of depression should not rely simply on a symptom count, but should take into account the degree of functional impairment and/or disability (see section 1.1.4).This is particularly important during high-risk periods, such as starting or changing treatment and at times of increased personal stress.When depression is accompanied by symptoms of anxiety, the first priority should usually be to treat the depression.Making decisions using NICE guidelines explains how we use words to show the strength (or certainty) of our recommendations, and has information about prescribing medicines (including off‑label use), professional guidelines, standards and laws (including on consent and mental capacity), and safeguarding.Make all efforts necessary to ensure that a person with depression can give meaningful and informed consent before treatment starts.Practitioners should consider using competence frameworks developed from the relevant treatment manual(s) and for all interventions should: The stepped-care model provides a framework in which to organise the provision of services, and supports patients, carers and practitioners in identifying and accessing the most effective interventions (see figure 1).In stepped care the least intrusive, most effective intervention is provided first; if a person does not benefit from the intervention initially offered, or declines an intervention, they should be offered an appropriate intervention from the next step.

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  1. Originally the Italian song “Il Mio Mondo”, it was brought to the attention of producer George Martin, a long-time collaborator with The Beatles, who commissioned a translation of the song to English and gave it to his protégée, Cilla.