Symptoms of Depression and Defining Level of Depression

 

 

 

 

Key Symptoms of Depression

  • Persistent sadness or low mood
  • Loss of interests or pleasure
  • Fatigue or low energy

At least one of these, most days, most of the time for at least 2 weeks.

 

 

Associated Symptoms

  • Disturbed Sleep
  • Poor concentration or indecisiveness
  • Low self-confidence
  • Poor or increased appetite
  • Suicidal thoughts or acts
  • Agitation or slowing of movements
  • Guilt or self blame

 

 

 

 

 

Mild Depression

Has 4 symptoms in total including at least 1 key symptom

 

Moderate Depression

Has 5-6 symptoms in total including at least 1 key symptom

 

Severe Depression

Has 7 or more symptoms in total, including at least 1 key symptom

 

 

 

 

 

 

 

 

STEP 2: If a patient has persistent mild depression

· Consider patient choice and information

· Consider treatment availability

· Consider referral to IAPT (Improving Access to Psychological Therapies)  

- IAPT information for referrers

- IAPT information for people who use services

·  Arrange follow up to monitor progress. Note: Telephone follow up is shown to be effective

Use clinical judgement and patient choice to decide number of Step 2 options to try before considering a move to Step 3.  

 

STEP 3: moderate or severe depression

 

This includes patients with:

 

· Persistent mild depression with or without chronic physical health problem

 

· A history of moderate or severe depression

 

 

 

Treatment includes psychological and/or pharmacological therapy 

 

 

STEP 4: Severe Depression or

 

IF step 3 is ineffective

 

Refer to specialist mental services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Possible Treatment Options:

 

 

 

Step 4