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Depression: When to refer to a specialist
- Complicating comorbidity (substance abuse, personality disorder, anxiety disorder)
- Severe presentation (serious suicidality, psychosis, bipolar disorder, especially bipolar I, with manic episodes)
- Diagnostic clarification (bipolarity, personality disorder comorbidity)
- Refractory to standard treatment (CBT, two or more medication trials)
Related Portico Network topics
Psychiatry in primary care toolkit
A powerful mobile app packed with features that will streamline screening and assessment in primary care.
Clinical guidelines
Major depressive disorder in adults: Diagnosis and management (BC Guidelines, 2013)
Depression in adults: Recognition and management (Nice guideline CG 90, 2009)
Depression in adults with chronic physical health problems: Recognition and management (NICE guideline CG91, 2009)
Depression in children and young people: Identification and management (NICE guideline CG28, 2005)
Management of depression in children and young people with moderate to severe depression: A treatment flowchart based on the NICE guidelines (Cundill Centre, CAMH)