2003 | 32 pages | Table of contents | Interactive version | Download PDF
This toolkit contains resources and strategies important for the "self-management" of depression. Self-management means having basic understanding about your illness and then being able to apply it in your own situation. It's about working with your mental health professional to find the treatment that works best for you and then sticking with it. It's also about developing strategies for dealing with depression and its impact on your day-to-day life...[PDF]
This toolkit has been designed to be a good complement to the Mental Disorders Toolkit as well as the Anti-Depressant Skills Workbook, Antidepressant Skills at Work Workbook and Dealing with Depression teen workbook (PDF) developed by the Mental Health Evaluation and Community Consultation Unit at the University of British Columbia.
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Table of contents:
Module One: What is depression?
Introduction: Why do we need a toolkit for depression
What is in the toolkit?
How do I use this toolkit?
Disclaimer
What is depression?
How does depression affect us?
What are the types of depression?
Major depressive disorder
Dysthymia
Bipolar disorder
How does depression appear in different populations?
What other conditions appear with depression?
How do I know if I or someone close to me needs help?
What does a thorough assessment for depression involve?
Suicide risk
Where do I start looking to find the help I need?
Who are the mental health professionals that can provide treatment and support?
Summary
Module Two: How is depression treated?
Depression treatments
Psychotherapy
Cognitive-behavioural therapy (CBT)
Interpersonal therapy (IPT)
Medication
Therapeutic doses of commonly prescribed antidepressants
Considerations about use of medication in special populations
Light therapy
Difficult-to-treat depression
Electroconvulsive therapy (ECT)
Repetitive transcranial magnetic stimulation (rTMS)
Alternative or complementary treatments
Staying with the approach that works for you
Self-management approaches
Summary
Module Three: Shared decision-making
What is shared decision-making? Why is it important?
What's involved in shared decision-making?
Stage One: Problem definition
Stage Two: Goal setting
Be "SMART"
Decision-making
A) Considering "evidence"
B) Considering attitudes, values and fears about treatment
C) Considering experiences of others
Summary: Making the decision
Stage Three: Monitoring
Summary
Module Four: Resources for building self-management skills
Core self-management skills vs illness-specific skills
Self-management skills specific for depression
The self-care depression program
Overcoming inactivity
Challenging negative thinking habits
Solving problems effectively
Reducing the risk of relapse
Changeways
Chronic disease self-management program (CDSMP) groups
Other self-management resources
Self-management books
Self-management websites
Self-help groups
Resources for special populations
Anthologies on depression
Further resources from the BC Partners
Other community-based mental health resources
Conclusion
References
Bandura, A. (1977). "Self-efficacy theory: Toward a unifying theory of behaviour change." Pysychological Review, 84, 191 - 215
Bodenheimer, T., et als. (2002). "Patient Self-Management of Chronic Disease in Primary Care." JAMA, 288 (19), 2469 - 75.
Bower, P., Richards, D., & Lovell, K. (2001). "The Clinical and Cost Effectiveness of Self-help Treatments for Anxiety and Depressive Disorders in Primary Care: A Systematic Review." British Journal of General Practice, 51, 838 - 845.
Culter-Carol, G. (2001) "Self care agency and symptom management in patients treated for mood disorder." Archives-of-Psychiatric-Nursing, Vol 15(1): 24-31
Frosch et als. (1999). "Shared Decision-Making in Clinical Medicine: Past research & future directions." American Journal of Preventi8ve Medicine, 17 (4), 285 - 294.
Katon, et als. (2001). "A Randomized Trial of Relapse Prevention of Depression in Primary Care." Arch Gen Psychiatry, 58, 241 - 247.
Paterson, R. & Bilsker, D. (2002). Self-care Depression Program: Patient Guide. Mheccu, University of British Columbia.
Scoggin, F., Hanson, A., & Welsh, D. (2003). "Self-administered Treatment in Stepped-Care: Models of Depression Treatment." Journal of Clinical Psychology, 59, 341 - 349.
Von Korff, J. et als. (1997). "Collaborative Management of Chronic Illness." Annas of Internal Medicine, 127, 1097 - 1102.
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