|
Kevin, I am glad you find them useful, thank you for the feedback which is
encouraging
regards
Chris
07720318839
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf
Of Maguire, Kevin
Sent: 23 June 2010 08:05
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] depression
These are more than "just" thoughts, Chris,
They form a really well written, easily understood set of guidance.
They're brilliant!
Kevin
-----Original Message-----
From: [log in to unmask] on behalf of christine Price
Sent: Tue 22/06/2010 22:21
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] depression
Hi, just to add my thoughts,
there are two types of depression; endogenous (no environmental cause -
usually recurrent, possibly genetic component & only responds to medication)
and Reactive depression which as it sounds is a response to environmental,
emotional or situation specific causes. The latter responds to counselling,
CBT and sometimes to medication.
There are major depressive episodes and drug related depressions also as
well as other significant triggers. Knowing the cause/reason behind the
depression enables more acurate treatment.
With therapy or counselling, the patient has to bond with the clinician or
the treatment wont work. Often EAP providers do not make allowance for this
fundamental problem. entering into a therapeutic relationship requires
trust and faith without these, the treatment is wasted. A patient needs to
want to change, often they need to be encouraged that it will be a safe
journey.
Several chemicals in the brain are involved with endogenous and reactive
depression, hence it is often necessary for several different types of
antidepressant medication to be tried before success is acheived, as
different medications act upon different chemicals in the brain.
if someone is not responding to treatment, they should be referred to mental
health services for accurate diagnosis. They may require 3 months on each
of a variety of antidepressant medications until the right one is found.
10 sessions is a lot to undertake before identifying that nothing is being
learnt or of benefit. I would question the counsellor and the patient on
reasons behind this.
CBT requires commitment from the patient to attend, engage and complete the
homework necessary to process the session content. Motivation is a common
problem with those with serious depressive illness and in those who have
more to gain by remaining unwell. depression is often complicated by
personality disorders that are insufficient to warrant formal diagnosis but
sufficient to cause behavioural responses to events & interventions.
if in doubt, they should be refered to mental health teams for full
assessment and appropriate treatment. Unfortunately, the majority only ever
see their GP, have infrequent review of mediction and GP's have insufficient
time to explore the further. This is not helped by a lack of RMN's, long
waiting lists for CMHT's etc.,
OH is ideally placed to explore more deeply and share with the GP their
findings.
finally there is a free internet based CBT programme on
www.livinglifetothefull.com written for Scottish Health by Manchester
University and excellent for mild to moderate depression that is situation
specific; enabling self treatment via modules online. It also has
therapists who can monitor progress through the course if needed.
hope this helps
Chris
Christine Price RMN DipHE OH(N) CBTc
_____
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf
Of Diane Romano-Woodward
Sent: 22 June 2010 06:48
To: [log in to unmask]
Subject: [OCC-HEALTH] depression
Evidence based guidance from
The British Occupational Health Research Foundation (BOHRF)
Workplace interventions for people with common mental health problems:
evidence review and recommendations (2005)
The review has looked at worldwide published research to find evidence based
answers to the following questions:
* What is the evidence for preventative programmes at work and what
are the conditions under which they are most effective?
* For those employees identified at risk, what interventions most
effectively enable them to remain at work?
* For those employees who have had periods of mental ill health
related sickness, what interventions most effectively support their
rehabilitation and return to work?
*
Summmary for health professionals:
http://www.bohrf.org.uk/downloads/cmh_hp.pdf
Employers and eployees
http://www.bohrf.org.uk/downloads/cmh_emp.pdf
_____
Get a free e-mail account with Hotmail. Sign-up
<http://clk.atdmt.com/UKM/go/197222280/direct/01/> now.
******************************** Please remove this footer before replying.
OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html
CONFERENCES AND STUDY DAYS:
http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH
********************************
Please remove this footer before replying.
OCC-HEALTH ARCHIVES:
http://www.jiscmail.ac.uk/lists/occ-health.html
CONFERENCES AND STUDY DAYS:
http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH
This email is intended solely for the addressee. It may contain private and
confidential information. If you are not the intended addressee, please
take no action based on it nor show a copy to anyone. In this case, please
reply to this email to highlight the error. Opinions and information in
this email that do not relate to the official business of Nottingham Trent
University shall be understood as neither given nor endorsed by the
University.
Nottingham Trent University has taken steps to ensure that this email and
any attachments are virus-free, but we do advise that the recipient should
check that the email and its attachments are actually virus free. This is
in keeping with good computing practice.
********************************
Please remove this footer before replying.
OCC-HEALTH ARCHIVES:
http://www.jiscmail.ac.uk/lists/occ-health.html
CONFERENCES AND STUDY DAYS:
http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH
********************************
Please remove this footer before replying.
OCC-HEALTH ARCHIVES:
http://www.jiscmail.ac.uk/lists/occ-health.html
CONFERENCES AND STUDY DAYS:
http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH
|
