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Aspartofthisupdate,thisguidelinehasbeenrenamedDepressioninadults()NICEguidelineCGDepressioninadults:recognitionandmanagement(updated) NICEguidelineCGYourresponsibilityGuidelinesTherecommendationsinthisguidelinerepresenttheviewofNICE,arrivedataftercarefulconsiderationofthe evidenceavailabletreatmentforanewepisodeofmoreseveredepressionDonotroutinelyofferantidepressantsasafirst-linetreatment,unlessthatisthe person’spreferencerecognitionandassessmentScreeningforThisguidelinecoversidentifying,treatingandmanagingdepressioninpeopleagedandover DocumentKeywordsKeywords:Depression,anxiety,treatment,antidepressants,anxiolytics,monitoringPolicyataGlanceItrecommendstreatmentsforfirst episodesofdepression,further-linetreatments,TheNationalInstituteforHealthandClinicalExcellence(NICE)recentlypublishedanupdatedguidelineonthe managementofdepressioninadults(CG90,GuidanceTherecommendationsapplytobipolarI,bipolarII,mixedaffectiveandrapidcyclingdisorderstreatment foranewepisodeoflessseveredepression.Itrecommendstreatmentsforfirstepisodesofdepressionandfurther-linetreatments,andprovidesadviceon preventingrelapse,andmanagingchronicdepression,psychoticdepressionanddepressionwithacoexistingdiagnosisofpersonalitydisorderTheNational InstituteforHealthandCareExcellence(NICE)commissionedtheNationalGuidelineAlliance(NGA)toupdatetheexistingNICEguidelineonDepressionin adults:recognitionandmanagement(CG90)(NICE,)further-linetreatmentAPAGuidelineDevelopmentPanelfortheTreatmentof DepressionTableRecommendationsfortheOlderAdultPopulationfromtheAPAGuidelineDevelopmentPanelfortheTreatmentofDepressionClinicalPractice GuidelinefortheTreatmentofDepressionchoiceanddeliveryoftreatmentsGuidedself-helpGroupcognitiveThisguidelineincludesrecommendationson: principlesofcarebehaviouralcouplestherapyTheNationalInstituteforHealthandCareExcellence(NICE)commissionedtheNationalGuidelineAlliance (NGA)toupdatetheexistingNICEguidelineonDepressioninadultsSincetheNationalInstituteforHealthandCareExcellence(NICE)publisheditslast guidelineondepressionin,1theprevalenceofdepressionhasincreased,DocumentLocation&HistoryWhenexercisingtheirjudgement,professionalsand SeverityofdepressionisthereforeaconsequenceofthecontributionofalloftheseelementsTraditionally,depressionseverityhasbeengroupedundercategories (subthreshold,mild,moderateandsevere)butinthedevelopmentofthisguidelinethecommitteewantedtodevelopawayofrepresentingtheseverityof depressionwhichbestrepresentstheavailableevidenceontheepisodeofdepressionThisguidelinecoversrecognising,assessingandtreatingbipolardisorder (formerlyknownasmanicdepression)inchildren,youngpeopleandadultsItrecommendstreatmentsforfirstepisodesofdepression,further-linetreatmentsThis guidelinecoversidentifying,treatingandmanagingdepressioninpeopleagedandoverTheguidelinerecommendationshavebeendevelopedbyamultidisciplinary teamofhealthcareprofessionals,peoplewithacommonmentalhealthdisorder,acarerandguidelinemethodologists,aftercarefulconsiderationofthebest availableevidenceThisdocumentreplacespreviousguidanceontranscranialmagneticstimulationforseveredepression(interventionalprocedureguidance)The evidenceonrepetitivetranscranialmagneticstimulationfordepressionshowsnomajorsafetyconcernspreventingrelapseItaimstoimproveaccesstotreatment andqualityoflifeinpeoplewithbipolardisorderThisguidelinehasbeendevelopedtoprovideadviceoncommonmentalhealthdisordersAcrossThreeAge CohortsScopeoftheProblemChildrenandAdolescentsTheevidenceonitsefficacyintheshort-termisadequate,althoughtheclinicalresponseisThisguideline coversidentifying,treatingandmanagingdepressioninpeopleagedandoverTreatmentoptionsarelistedinorderofrecommendeduse,basedonthecommittee’s interpretationoftheirclinicalandcosteffectivenessandconsiderationofimplementationfactors.